ANUPAMA GOTIMUKULA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048703

License Status

EXPIRED

Business

First Name

ANUPAMA

Last Name

GOTIMUKULA

Suffix

Business Name

ANUPAMA GOTIMUKULA MD

Original Issue Date

07/12/2004

Effective Date

07/12/2004

Expiration Date

07/11/2006

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006