GAUTAM JAYRAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124117

License Status

NOT RENEWED

Business

First Name

GAUTAM

Last Name

JAYRAM

Suffix

Business Name

GAUTAM JAYRAM MD

Original Issue Date

07/28/2009

Effective Date

06/22/2011

Expiration Date

07/31/2014

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/17/2014