DAMAYANTI S HATHIWALA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065246

License Status

ACTIVE

Business

First Name

DAMAYANTI S

Last Name

HATHIWALA

Suffix

Business Name

DAMAYANTI S HATHIWALA MD

Original Issue Date

08/20/1982

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

07/18/2023