VAMSILATHA MADDALA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123793

License Status

ACTIVE

Business

Title

First Name

VAMSILATHA

Last Name

MADDALA

Business Name

VAMSILATHA MADDALA MD

Original Issue Date

06/18/2009

Effective Date

04/21/2023

Expiration Date

07/31/2026

City

LONG GROVE

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

03/11/2026