S CHANDRA MOULI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048776

License Status

ACTIVE

Business

First Name

Middle

CHANDRA

Last Name

MOULI

Suffix

Business Name

S CHANDRA MOULI MD

Original Issue Date

02/05/1974

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

LAKEFOREST

State

Zip

60045

Ever Disciplined

LastModifiedDate

04/06/2023