NITHIN VENKATESH EDARA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036171235

License Status

ACTIVE

Business

Title

First Name

NITHIN

Middle

VENKATESH

Last Name

EDARA

Business Name

NITHIN VENKATESH EDARA MD

Original Issue Date

07/19/2024

Effective Date

07/19/2024

Expiration Date

07/31/2026

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Ever Disciplined

LastModifiedDate

07/19/2024