HEMALATA MANDIGA DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001306

License Status

EXPIRED

Business

Title

First Name

HEMALATA

Last Name

MANDIGA

Business Name

HEMALATA MANDIGA DO

Original Issue Date

10/07/2019

Effective Date

10/07/2019

Expiration Date

11/06/2019

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Geriatric Medicine

Ever Disciplined

LastModifiedDate

01/13/2020