NITHIN CHARLLY MD - Medical Doctor License in Illinois | # 125079374

NITHIN CHARLLY MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079374

License Status

CANCELLED

Business

N

Title

MD

First Name

NITHIN

Last Name

CHARLLY

Business Name

NITHIN CHARLLY MD

Original Issue Date

06/23/2022

Effective Date

06/23/2022

Expiration Date

06/22/2025

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/20/2024