VASANTH KATTALAI KAILASAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

ACTIVE

Business

Title

First Name

VASANTH

Last Name

KATTALAI KAILASAM

Business Name

VASANTH KATTALAI KAILASAM MD

Original Issue Date

05/15/2023

Effective Date

05/15/2023

Expiration Date

07/31/2026

City

BANGOR

State

Zip

04401

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/15/2023