LAKSHMI BANGALORE VATSAN SRI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

NOT RENEWED

Business

Title

First Name

LAKSHMI

Last Name

BANGALORE VATSAN SRI

Business Name

LAKSHMI BANGALORE VATSAN SRI MD

Original Issue Date

11/13/2012

Effective Date

07/16/2014

Expiration Date

07/31/2017

City

KENILWORTH

State

Zip

60043

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017