VAISHAK A AMBLEE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069967

License Status

CANCELLED

Business

Title

First Name

VAISHAK

Middle

Last Name

AMBLEE

Business Name

VAISHAK A AMBLEE MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Interventional Radiology - Integrated

Ever Disciplined

LastModifiedDate

04/29/2019