GAUTHAM VISWANATHAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041987

License Status

EXPIRED

Business

First Name

GAUTHAM

Last Name

VISWANATHAN

Suffix

Business Name

GAUTHAM VISWANATHAN MD

Original Issue Date

07/01/2000

Effective Date

07/01/2000

Expiration Date

06/30/2003

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006