ELIYAZAR GADDAM Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024519

License Status

EXPIRED

Business

First Name

ELIYAZAR

Last Name

GADDAM

Business Name

ELIYAZAR GADDAM

Original Issue Date

08/14/1989

Effective Date

08/14/1989

Expiration Date

08/13/1992

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006