KAVITHA PANCHOLY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131358

License Status

ACTIVE

Business

Title

First Name

KAVITHA

Last Name

PANCHOLY

Business Name

KAVITHA PANCHOLY MD

Original Issue Date

09/11/2012

Effective Date

07/29/2025

Expiration Date

07/31/2026

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/29/2025