VIVEK YANAMADALA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080345

License Status

CANCELLED

Business

Title

First Name

VIVEK

Last Name

YANAMADALA

Business Name

VIVEK YANAMADALA MD

Original Issue Date

06/24/2022

Effective Date

06/24/2022

Expiration Date

06/23/2025

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

12/06/2024