ATUL MEDAVARAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036162089

License Status

ACTIVE

Business

Title

First Name

ATUL

Last Name

MEDAVARAM

Business Name

ATUL MEDAVARAM MD

Original Issue Date

08/19/2022

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

BOLINGBROOK

State

Zip

60440

County

WILL

Ever Disciplined

LastModifiedDate

12/17/2025