VINEEL MALLAVARAPU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086664

License Status

ACTIVE

Business

Title

First Name

VINEEL

Last Name

MALLAVARAPU

Business Name

VINEEL MALLAVARAPU MD

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

06/13/2025