LEENA LATA SASTRY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000309

License Status

EXPIRED

Business

First Name

LEENA

Middle

LATA

Last Name

SASTRY

Suffix

Business Name

LEENA LATA SASTRY MD

Original Issue Date

02/01/2010

Effective Date

02/01/2010

Expiration Date

07/31/2010

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/13/2010