PONDA JAMIL MADATI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036161527

License Status

ACTIVE

Business

Title

First Name

PONDA

Middle

JAMIL

Last Name

MADATI

Business Name

PONDA JAMIL MADATI MD

Original Issue Date

07/19/2022

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

06/27/2023