MONISHA KRISHNAMMA GUDAVALLI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081955

License Status

ACTIVE

Business

Title

First Name

MONISHA

Middle

KRISHNAMMA

Last Name

GUDAVALLI

Business Name

MONISHA KRISHNAMMA GUDAVALLI MD

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2026

City

AURORA

State

Zip

60504

County

KANE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/25/2023