GAUTAM JAYRAM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051491

License Status

EXPIRED

Business

First Name

GAUTAM

Last Name

JAYRAM

Suffix

Business Name

GAUTAM JAYRAM MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

07/15/2009