SREENIVASA R DHARMAVARAM Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094293

License Status

ACTIVE

Business

First Name

SREENIVASA R

Last Name

DHARMAVARAM

Business Name

SREENIVASA R DHARMAVARAM

Original Issue Date

09/27/1996

Effective Date

04/30/2023

Expiration Date

07/31/2026

City

WESTMONT

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/30/2023