KAVITHA BATHALA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106265

License Status

ACTIVE

Business

First Name

KAVITHA

Last Name

BATHALA

Business Name

KAVITHA BATHALA

Original Issue Date

02/13/2002

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/21/2023