VASANTHA LAKSHMI ANNE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

ACTIVE

Business

First Name

VASANTHA

Middle

LAKSHMI

Last Name

ANNE

Suffix

Business Name

VASANTHA LAKSHMI ANNE MD

Original Issue Date

06/18/2009

Effective Date

05/13/2023

Expiration Date

07/31/2026

City

PLAINFIELD

State

Zip

60585

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/13/2023