HIMABALA MEDASANI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146646

License Status

ACTIVE

Business

Title

First Name

HIMABALA

Last Name

MEDASANI

Business Name

HIMABALA MEDASANI MD

Original Issue Date

06/28/2018

Effective Date

05/31/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/31/2023