AHANTH VEDANTHAM DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016006047

License Status

ACTIVE

Business

Title

DPM

First Name

AHANTH

Last Name

VEDANTHAM

Business Name

AHANTH VEDANTHAM DPM

Original Issue Date

01/10/2024

Effective Date

12/25/2024

Expiration Date

01/31/2027

City

CHICAGO

State

Zip

60613

Ever Disciplined

LastModifiedDate

12/25/2024