VIKAS MANJUNATH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080228

License Status

CANCELLED

Business

Title

First Name

VIKAS

Last Name

MANJUNATH

Business Name

VIKAS MANJUNATH MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

City

PEORIA

State

Zip

61614

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

11/06/2024