PUJA GOPAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144206

License Status

NOT RENEWED

Business

Title

First Name

PUJA

Last Name

GOPAL

Business Name

PUJA GOPAL MD

Original Issue Date

08/28/2017

Effective Date

08/28/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021