K M L S T MOORTHI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106618

License Status

ACTIVE

Business

First Name

K M L S T

Last Name

MOORTHI

Suffix

Business Name

K M L S T MOORTHI MD

Original Issue Date

03/28/2002

Effective Date

05/19/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

06/25/2025