NITHIN VENKATESH EDARA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079311

License Status

CANCELLED

Business

Title

First Name

NITHIN

Middle

VENKATESH

Last Name

EDARA

Business Name

NITHIN VENKATESH EDARA MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

04/12/2022