SAKTHI P VADIVEL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077672

License Status

INACTIVE

Business

First Name

SAKTHI P

Last Name

VADIVEL

Suffix

Business Name

SAKTHI P VADIVEL MD

Original Issue Date

08/13/1988

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

SALTLAKECITY

State

Zip

84101

Ever Disciplined

LastModifiedDate

07/23/2008