GAUTAM RAJENDRAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044873

License Status

EXPIRED

Business

First Name

GAUTAM

Last Name

RAJENDRAN

Suffix

Business Name

GAUTAM RAJENDRAN MD

Original Issue Date

06/27/2002

Effective Date

06/27/2002

Expiration Date

06/26/2005

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006