GAYATRI MENON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127964

License Status

NOT RENEWED

Business

Title

First Name

GAYATRI

Last Name

MENON

Business Name

GAYATRI MENON DO

Original Issue Date

05/31/2011

Effective Date

06/12/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017