RADHA IYENGAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125087013

License Status

ACTIVE

Business

Title

First Name

RADHA

Last Name

IYENGAR

Business Name

RADHA IYENGAR MD

Original Issue Date

06/26/2025

Effective Date

06/26/2025

Expiration Date

06/25/2028

City

ROCKFORD

State

Zip

61104

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/26/2025