AMITHA S MUSHYAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120455

License Status

ACTIVE

Business

Title

First Name

AMITHA

Middle

Last Name

MUSHYAM

Business Name

AMITHA S MUSHYAM MD

Original Issue Date

04/03/2008

Effective Date

05/08/2023

Expiration Date

07/31/2026

City

MCHENRY

State

Zip

60050

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/08/2023