ABHISTA VALLABHANENI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137717

License Status

ACTIVE

Business

Title

First Name

ABHISTA

Last Name

VALLABHANENI

Business Name

ABHISTA VALLABHANENI MD

Original Issue Date

04/02/2015

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

04/14/2023