SHIVAM CHANDRAGUPTA VEDAK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036162129

License Status

ACTIVE

Business

Title

First Name

SHIVAM

Middle

CHANDRAGUPTA

Last Name

VEDAK

Business Name

SHIVAM CHANDRAGUPTA VEDAK MD

Original Issue Date

08/23/2022

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

04/26/2023