NIRGUNA THALLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036171458

License Status

ACTIVE

Business

Title

First Name

NIRGUNA

Last Name

THALLA

Business Name

NIRGUNA THALLA MD

Original Issue Date

08/05/2024

Effective Date

08/05/2024

Expiration Date

07/31/2026

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Ever Disciplined

LastModifiedDate

08/05/2024