VENU GOPAL BATHINI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037450

License Status

CANCELLED

Business

First Name

VENU

Middle

GOPAL

Last Name

BATHINI

Suffix

Business Name

VENU GOPAL BATHINI MD

Original Issue Date

07/01/1998

Effective Date

07/01/1998

Expiration Date

06/30/2001

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006