GOUTAMI NALLAMOTHU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096435

License Status

ACTIVE

Business

First Name

GOUTAMI

Last Name

NALLAMOTHU

Suffix

Business Name

GOUTAMI NALLAMOTHU MD

Original Issue Date

08/18/1997

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/08/2023