NANDITHA NAGABHUSHANA MALAKKLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

ACTIVE

Business

First Name

NANDITHA

Middle

NAGABHUSHANA

Last Name

MALAKKLA

Suffix

Business Name

NANDITHA NAGABHUSHANA MALAKKLA MD

Original Issue Date

11/24/2015

Effective Date

06/08/2023

Expiration Date

07/31/2026

City

AURORA

State

Zip

60504

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/08/2023