NITHIN REDDY GOTTAM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055096

License Status

EXPIRED

Business

Title

First Name

NITHIN

Middle

REDDY

Last Name

GOTTAM

Business Name

NITHIN REDDY GOTTAM MD

Original Issue Date

06/22/2008

Effective Date

06/22/2008

Expiration Date

06/21/2011

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/19/2011