SANDEEP DEVATA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114874

License Status

ACTIVE

Business

First Name

SANDEEP

Last Name

DEVATA

Business Name

SANDEEP DEVATA

Original Issue Date

11/14/2005

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CLARENDON HILLS

State

Zip

60514

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/07/2023