NAGENDRA POLAVARAPU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119683

License Status

ACTIVE

Business

First Name

NAGENDRA

Last Name

POLAVARAPU

Suffix

Business Name

NAGENDRA POLAVARAPU MD

Original Issue Date

11/09/2007

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

Ever Disciplined

LastModifiedDate

04/06/2023