GUNDLUPET K DWARAKA NATH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017405

License Status

EXPIRED

Business

First Name

GUNDLUPET

Middle

K DWARAKA

Last Name

NATH

Suffix

Business Name

GUNDLUPET K DWARAKA NATH MD

Original Issue Date

07/02/1984

Effective Date

07/02/1984

Expiration Date

07/01/1986

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006