CHETHANA C GOTTAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122055

License Status

NOT RENEWED

Business

Title

First Name

CHETHANA

Middle

Last Name

GOTTAM

Business Name

CHETHANA C GOTTAM MD

Original Issue Date

10/09/2008

Effective Date

04/27/2011

Expiration Date

07/31/2014

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

06/01/2015