SHRUTI KONDA DEVINENI DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036164551

License Status

ACTIVE

Business

Title

First Name

SHRUTI

Middle

KONDA

Last Name

DEVINENI

Business Name

SHRUTI KONDA DEVINENI DO

Original Issue Date

04/28/2023

Effective Date

04/28/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

03/10/2023