JYOTHI D GUDLA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038826

License Status

EXPIRED

Business

First Name

JYOTHI

Middle

Last Name

GUDLA

Suffix

Business Name

JYOTHI D GUDLA MD

Original Issue Date

08/14/1998

Effective Date

08/14/1998

Expiration Date

09/14/2001

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Geriatric Medicine

Ever Disciplined

LastModifiedDate

09/22/2006