GOTAM TONY VARMA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137393

License Status

ACTIVE

Business

Title

First Name

GOTAM

Middle

TONY

Last Name

VARMA

Business Name

GOTAM TONY VARMA DO

Original Issue Date

02/23/2015

Effective Date

06/20/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61822

County

COOK

Ever Disciplined

LastModifiedDate

06/20/2023