MANUBOLU DIVYA DEVANAND MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153036

License Status

ACTIVE

Business

Title

First Name

MANUBOLU

Middle

DIVYA

Last Name

DEVANAND

Business Name

MANUBOLU DIVYA DEVANAND MD

Original Issue Date

05/18/2020

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

06/14/2023