SHREEVIDYA VATTAPARAMBIL MENON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128055

License Status

ACTIVE

Business

Title

First Name

SHREEVIDYA

Middle

VATTAPARAMBIL

Last Name

MENON

Business Name

SHREEVIDYA VATTAPARAMBIL MENON DO

Original Issue Date

06/06/2011

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

04/06/2023