ESHWAR P GUMIDYALA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032009

License Status

EXPIRED

Business

First Name

ESHWAR P

Last Name

GUMIDYALA

Suffix

Business Name

ESHWAR P GUMIDYALA MD

Original Issue Date

06/28/1994

Effective Date

06/28/1994

Expiration Date

06/30/1997

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006