SMITHA GOPAL AGADI MD - Medical Doctor License in Illinois | # 125046772

SMITHA GOPAL AGADI MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046772

License Status

EXPIRED

Business

N

First Name

SMITHA

Middle

GOPAL

Last Name

AGADI

Suffix

MD

Business Name

SMITHA GOPAL AGADI MD

Original Issue Date

06/24/2003

Effective Date

06/24/2003

Expiration Date

06/23/2006

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006