NINA UNDEVIA YEDAVALLI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

ACTIVE

Business

First Name

NINA

Middle

UNDEVIA

Last Name

YEDAVALLI

Suffix

Business Name

NINA UNDEVIA YEDAVALLI MD

Original Issue Date

06/30/2006

Effective Date

05/19/2023

Expiration Date

07/31/2026

City

RIVER FOREST

State

Zip

60305

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/19/2023