NIVRUTHI VANGALA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148040

License Status

ACTIVE

Business

Title

First Name

NIVRUTHI

Last Name

VANGALA

Business Name

NIVRUTHI VANGALA MD

Original Issue Date

01/04/2019

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2023