SAMDEEP KONDA MOULI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135789

License Status

ACTIVE

Business

Title

First Name

SAMDEEP

Middle

KONDA

Last Name

MOULI

Business Name

SAMDEEP KONDA MOULI MD

Original Issue Date

07/02/2014

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

04/11/2023