THOMAS VENKAT MALLIDI Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135980

License Status

ACTIVE

Business

First Name

THOMAS

Middle

VENKAT

Last Name

MALLIDI

Business Name

THOMAS VENKAT MALLIDI

Original Issue Date

07/22/2014

Effective Date

04/16/2023

Expiration Date

07/31/2026

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/16/2023