MONTIDA VEERAVIGROM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151888

License Status

ACTIVE

Business

Title

First Name

MONTIDA

Last Name

VEERAVIGROM

Business Name

MONTIDA VEERAVIGROM MD

Original Issue Date

02/19/2020

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

04/06/2023