SUSHEER DILBAGH GANDOTRA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110251

License Status

NOT RENEWED

Business

First Name

SUSHEER

Middle

DILBAGH

Last Name

GANDOTRA

Suffix

Business Name

SUSHEER DILBAGH GANDOTRA MD

Original Issue Date

10/08/2003

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/06/2008