MAHIMA VEMUGANTI Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****61

License Status

ACTIVE

Business

First Name

MAHIMA

Last Name

VEMUGANTI

Business Name

MAHIMA VEMUGANTI

Original Issue Date

06/20/2023

Effective Date

02/16/2026

Expiration Date

03/01/2028

City

MAYWOOD

State

Zip

60153

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/16/2026