GAUTAM KANTILAL BHANUSHALI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132193

License Status

ACTIVE

Business

Title

First Name

GAUTAM

Middle

KANTILAL

Last Name

BHANUSHALI

Business Name

GAUTAM KANTILAL BHANUSHALI MD

Original Issue Date

04/01/2013

Effective Date

05/12/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2023