AJIT INDAVARAPU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141142

License Status

ACTIVE

Business

Title

First Name

AJIT

Last Name

INDAVARAPU

Business Name

AJIT INDAVARAPU MD

Original Issue Date

07/06/2016

Effective Date

08/17/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

08/17/2023