GIRISH V VITALPUR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098173

License Status

NOT RENEWED

Business

First Name

GIRISH

Middle

Last Name

VITALPUR

Suffix

Business Name

GIRISH V VITALPUR MD

Original Issue Date

07/06/1998

Effective Date

07/06/1998

Expiration Date

07/31/2002

City

SAINT JOHN

State

Zip

46373

County

LAKE

Ever Disciplined

LastModifiedDate

10/09/2006