TARUNA WAGHRAY PENMETCHA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106874

License Status

ACTIVE

Business

First Name

TARUNA

Middle

WAGHRAY

Last Name

PENMETCHA

Suffix

Business Name

TARUNA WAGHRAY PENMETCHA MD

Original Issue Date

05/07/2002

Effective Date

04/29/2023

Expiration Date

07/31/2026

City

BURR-RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/29/2023