NIKITHA MANEM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074746

License Status

EXPIRED

Business

Title

First Name

NIKITHA

Last Name

MANEM

Business Name

NIKITHA MANEM MD

Original Issue Date

06/17/2019

Effective Date

06/17/2019

Expiration Date

06/16/2022

City

CHICAGO

State

Zip

60657

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/11/2022