TARIKU TADELE GUDURA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152123

License Status

ACTIVE

Business

Title

First Name

TARIKU

Middle

TADELE

Last Name

GUDURA

Business Name

TARIKU TADELE GUDURA MD

Original Issue Date

03/10/2020

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

FISHERS

State

Zip

46038

County

COOK

Ever Disciplined

LastModifiedDate

01/18/2024