MEDA SHASHIKUMAR RAGHAVENDRA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092881

License Status

ACTIVE

Business

First Name

MEDA SHASHIKUMAR

Last Name

RAGHAVENDRA

Suffix

Business Name

MEDA SHASHIKUMAR RAGHAVENDRA MD

Original Issue Date

05/24/1996

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

BOLINGBROOK

State

Zip

60490

County

WILL

Ever Disciplined

LastModifiedDate

04/14/2023