ANITA MARA DAMODARAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142697

License Status

ACTIVE

Business

Title

First Name

ANITA

Middle

MARA

Last Name

DAMODARAN

Business Name

ANITA MARA DAMODARAN MD

Original Issue Date

03/16/2017

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

06/23/2023