LYNN VATTATHARA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036172535

License Status

ACTIVE

Business

Title

First Name

LYNN

Last Name

VATTATHARA

Business Name

LYNN VATTATHARA MD

Original Issue Date

10/29/2024

Effective Date

10/29/2024

Expiration Date

07/31/2026

City

WILDWOOD

State

Zip

63011

Ever Disciplined

LastModifiedDate

10/29/2024