HIMABINDU KANDIMALLA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

ACTIVE

Business

First Name

HIMABINDU

Last Name

KANDIMALLA

Business Name

HIMABINDU KANDIMALLA

Original Issue Date

06/09/2005

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

HAZEL CREST

State

Zip

60429

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/21/2023