PREMESH MALAPATI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114832

License Status

ACTIVE

Business

First Name

PREMESH

Last Name

MALAPATI

Suffix

Business Name

PREMESH MALAPATI MD

Original Issue Date

11/02/2005

Effective Date

05/16/2023

Expiration Date

07/31/2026

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

05/16/2023