VISHNU B NUTAKKI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

First Name

VISHNU B

Last Name

NUTAKKI

Business Name

VISHNU B NUTAKKI

Original Issue Date

08/31/1994

Effective Date

08/31/1994

Expiration Date

07/31/1996

City

WESTMONT

State

Zip

60559

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006