RAJA R GOPALDAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134371

License Status

NOT RENEWED

Business

Title

First Name

RAJA

Middle

Last Name

GOPALDAS

Business Name

RAJA R GOPALDAS MD

Original Issue Date

12/30/2013

Effective Date

06/05/2017

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/14/2021