YAMUNA GORANTLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145714

License Status

NOT RENEWED

Business

Title

First Name

YAMUNA

Last Name

GORANTLA

Business Name

YAMUNA GORANTLA MD

Original Issue Date

04/16/2018

Effective Date

04/16/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021