MAANASA BANDLA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036170900

License Status

ACTIVE

Business

Title

First Name

MAANASA

Last Name

BANDLA

Business Name

MAANASA BANDLA DO

Original Issue Date

07/02/2024

Effective Date

07/02/2024

Expiration Date

07/31/2026

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Ever Disciplined

LastModifiedDate

08/22/2024