AHANTH VEDANTHAM DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****67

License Status

ACTIVE

Business

Title

DPM

First Name

AHANTH

Last Name

VEDANTHAM

Business Name

AHANTH VEDANTHAM DPM

Original Issue Date

05/03/2024

Effective Date

01/14/2025

Expiration Date

01/31/2027

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2025