VIJAY K NUTHAKKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

VIJAY

Middle

Last Name

NUTHAKKI

Suffix

Business Name

VIJAY K NUTHAKKI MD

Original Issue Date

06/02/2005

Effective Date

11/24/2010

Expiration Date

07/31/2011

City

MILWAUKEE

State

Zip

53215

County

WISCONSIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/13/2012