NINA UNDEVIA YEDAVALLI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112219

License Status

ACTIVE

Business

First Name

NINA

Middle

UNDEVIA

Last Name

YEDAVALLI

Suffix

Business Name

NINA UNDEVIA YEDAVALLI MD

Original Issue Date

08/26/2004

Effective Date

05/19/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

05/19/2023