MANINDER S GURAM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020085

License Status

EXPIRED

Business

First Name

MANINDER S

Last Name

GURAM

Suffix

Business Name

MANINDER S GURAM MD

Original Issue Date

07/14/1986

Effective Date

07/14/1986

Expiration Date

06/26/1990

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006