PHANI MADHURI BORRA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036157737

License Status

ACTIVE

Business

Title

First Name

PHANI

Middle

MADHURI

Last Name

BORRA

Business Name

PHANI MADHURI BORRA MD

Original Issue Date

07/19/2021

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2023