MOHAN CHANDRA VINAY BHARADWAJ GUDIWADA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078335

License Status

EXPIRED

Business

Title

First Name

MOHAN CHANDRA

Middle

VINAY BHARADWAJ

Last Name

GUDIWADA

Business Name

MOHAN CHANDRA VINAY BHARADWAJ GUDIWADA MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60657

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/30/2024