NANDITHA NAGABHUSHANA MALAKKLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139411

License Status

ACTIVE

Business

First Name

NANDITHA

Middle

NAGABHUSHANA

Last Name

MALAKKLA

Suffix

Business Name

NANDITHA NAGABHUSHANA MALAKKLA MD

Original Issue Date

11/24/2015

Effective Date

06/08/2023

Expiration Date

07/31/2026

City

AURORA

State

Zip

60504

County

DUPAGE

Ever Disciplined

LastModifiedDate

06/08/2023