GAURI VINAYAK PETHE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073173

License Status

CANCELLED

Business

Title

First Name

GAURI

Middle

VINAYAK

Last Name

PETHE

Business Name

GAURI VINAYAK PETHE MD

Original Issue Date

06/24/2018

Effective Date

06/24/2018

Expiration Date

06/23/2021

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/04/2018