MALCOLM MARAZBAN VANDREVALA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145442

License Status

ACTIVE

Business

Title

First Name

MALCOLM

Middle

MARAZBAN

Last Name

VANDREVALA

Business Name

MALCOLM MARAZBAN VANDREVALA MD

Original Issue Date

03/23/2018

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

DES PLAINES

State

Zip

60016

Ever Disciplined

LastModifiedDate

04/10/2023