VASANTHA L GONA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099204

License Status

ACTIVE

Business

First Name

VASANTHA

Middle

Last Name

GONA

Business Name

VASANTHA L GONA

Original Issue Date

10/15/1998

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

SYCAMORE

State

Zip

60178

County

DEKALB

Ever Disciplined

LastModifiedDate

07/20/2023