NIDHI S UNDEVIA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102139

License Status

ACTIVE

Business

First Name

NIDHI S

Last Name

UNDEVIA

Business Name

NIDHI S UNDEVIA

Original Issue Date

03/16/2000

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

08/01/2023