DIVYA VENKAT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036161090

License Status

ACTIVE

Business

Title

First Name

DIVYA

Last Name

VENKAT

Business Name

DIVYA VENKAT MD

Original Issue Date

06/29/2022

Effective Date

05/16/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

05/16/2023