GAUTHAM VISWANATHAN MD - Medical Doctor License in Illinois | # 036108821

GAUTHAM VISWANATHAN MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108821

License Status

NOT RENEWED

Business

N

First Name

GAUTHAM

Last Name

VISWANATHAN

Suffix

MD

Business Name

GAUTHAM VISWANATHAN MD

Original Issue Date

03/18/2003

Effective Date

03/18/2003

Expiration Date

07/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

04/17/2009