AHANTH VEDANTHAM DPM Podiatrist License verification

Business Entity

INOPERATIVE

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001132

License Status

INOPERATIVE

Business

Title

DPM

First Name

AHANTH

Last Name

VEDANTHAM

Business Name

AHANTH VEDANTHAM DPM

Original Issue Date

06/11/2021

Effective Date

06/25/2021

Expiration Date

06/24/2024

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

04/30/2021