SHANTHI GOPAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151237

License Status

ACTIVE

Business

Title

First Name

SHANTHI

Last Name

GOPAL

Business Name

SHANTHI GOPAL MD

Original Issue Date

11/19/2019

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/10/2023