NIRUPAMA MAHIDHARA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

ACTIVE

Business

First Name

NIRUPAMA

Last Name

MAHIDHARA

Suffix

Business Name

NIRUPAMA MAHIDHARA MD

Original Issue Date

12/14/2006

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/13/2023