MAYURI PRAVIN GOTHE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052457

License Status

EXPIRED

Business

First Name

MAYURI

Middle

PRAVIN

Last Name

GOTHE

Business Name

MAYURI PRAVIN GOTHE

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

07/08/2010