PAWAN GUNDAVARAM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049333

License Status

EXPIRED

Business

First Name

PAWAN

Last Name

GUNDAVARAM

Suffix

Business Name

PAWAN GUNDAVARAM MD

Original Issue Date

07/25/2005

Effective Date

07/25/2005

Expiration Date

07/24/2008

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/31/2008