MANILA GADDH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122544

License Status

INACTIVE

Business

Title

First Name

MANILA

Last Name

GADDH

Business Name

MANILA GADDH MD

Original Issue Date

02/03/2009

Effective Date

04/25/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014