ELIYAZAR GADDAM Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083544

License Status

ACTIVE

Business

First Name

ELIYAZAR

Last Name

GADDAM

Business Name

ELIYAZAR GADDAM

Original Issue Date

09/24/1991

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

LINCOLNWOOD

State

Zip

60712

County

COOK

Ever Disciplined

LastModifiedDate

04/18/2023