UMANG GAUTAM Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034830

License Status

EXPIRED

Business

First Name

UMANG

Last Name

GAUTAM

Business Name

UMANG GAUTAM

Original Issue Date

06/03/1996

Effective Date

06/03/1996

Expiration Date

06/24/1999

City

MELROSE PARK

State

Zip

60160

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006