NIKESH RAVINDRAKUMAR LATH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138440

License Status

ACTIVE

Business

Title

First Name

NIKESH

Middle

RAVINDRAKUMAR

Last Name

LATH

Business Name

NIKESH RAVINDRAKUMAR LATH MD

Original Issue Date

06/24/2015

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

04/08/2023