NILESH J GOSWAMI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096552

License Status

NOT RENEWED

Business

First Name

NILESH J

Last Name

GOSWAMI

Suffix

Business Name

NILESH J GOSWAMI MD

Original Issue Date

08/25/1997

Effective Date

09/22/2020

Expiration Date

07/31/2023

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/30/2023