GANAPATHI R GOTTUMUKKALA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019063

License Status

EXPIRED

Business

First Name

GANAPATHI R

Last Name

GOTTUMUKKALA

Business Name

GANAPATHI R GOTTUMUKKALA

Original Issue Date

11/13/1985

Effective Date

11/13/1985

Expiration Date

11/04/1988

City

CHICAGO

State

Zip

60649

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006