GAGAN GAUTAM Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055629

License Status

EXPIRED

Business

First Name

GAGAN

Last Name

GAUTAM

Business Name

GAGAN GAUTAM

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2011

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Minimally Invasive Urological Surgery

Ever Disciplined

LastModifiedDate

07/19/2011