AMUTHA VALLI RAJAGOPAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140481

License Status

NOT RENEWED

Business

Title

First Name

AMUTHA

Middle

VALLI

Last Name

RAJAGOPAL

Business Name

AMUTHA VALLI RAJAGOPAL MD

Original Issue Date

04/25/2016

Effective Date

06/05/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60615

Ever Disciplined

LastModifiedDate

01/14/2021