SMITA GAUTAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135521

License Status

ACTIVE

Business

Title

First Name

SMITA

Last Name

GAUTAM

Business Name

SMITA GAUTAM MD

Original Issue Date

06/16/2014

Effective Date

07/30/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

07/30/2023