GAYATRI KOLLURU BAKER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146017

License Status

ACTIVE

Business

Title

First Name

GAYATRI

Middle

KOLLURU

Last Name

BAKER

Business Name

GAYATRI KOLLURU BAKER DO

Original Issue Date

05/08/2018

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

ELGIN

State

Zip

60123

County

COOK

Ever Disciplined

LastModifiedDate

06/02/2023