NAGENDRAM PAIDISETTY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114717

License Status

NOT RENEWED

Business

First Name

NAGENDRAM

Last Name

PAIDISETTY

Business Name

NAGENDRAM PAIDISETTY

Original Issue Date

10/07/2005

Effective Date

06/15/2017

Expiration Date

09/30/2020

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021