GOWTHAM ROY LINGAMANENI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063831

License Status

EXPIRED

Business

Title

First Name

GOWTHAM

Middle

ROY

Last Name

LINGAMANENI

Business Name

GOWTHAM ROY LINGAMANENI MD

Original Issue Date

06/24/2016

Effective Date

06/24/2016

Expiration Date

06/23/2019

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

10/02/2019