VISHWANATH S GUNDUR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091932

License Status

NOT RENEWED

Business

First Name

VISHWANATH

Middle

Last Name

GUNDUR

Suffix

Business Name

VISHWANATH S GUNDUR MD

Original Issue Date

09/25/1995

Effective Date

07/26/2011

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/17/2014

Case Number

1998015083

Action

Probation

Discipline Start Date

09/24/2003

Discipline End Date

09/23/2007

Discipline Reason

Violated the terms and conditions of a previously imposed probation.