GOPIKA GANGUPANTULA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040436

License Status

EXPIRED

Business

First Name

GOPIKA

Last Name

GANGUPANTULA

Business Name

GOPIKA GANGUPANTULA

Original Issue Date

07/22/1999

Effective Date

07/22/1999

Expiration Date

07/21/2002

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006