GORANTLA GOVINDAIAH MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042002373

License Status

NOT RENEWED

Business

Business Name

GORANTLA GOVINDAIAH MD SC

Original Issue Date

06/12/1975

Effective Date

06/12/1975

Expiration Date

01/01/2005

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/09/2006