THAKSHAKAMANI MADAMALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085807

License Status

NOT RENEWED

Business

First Name

THAKSHAKAMANI

Last Name

MADAMALA

Suffix

Business Name

THAKSHAKAMANI MADAMALA MD

Original Issue Date

02/03/1993

Effective Date

07/07/2020

Expiration Date

07/31/2023

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

11/30/2023