VIJAY K NUTHAKKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113820

License Status

NOT RENEWED

Business

First Name

VIJAY

Middle

Last Name

NUTHAKKI

Suffix

Business Name

VIJAY K NUTHAKKI MD

Original Issue Date

05/31/2005

Effective Date

06/25/2012

Expiration Date

07/31/2014

City

MILWAUKEE

State

Zip

53202

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/17/2014