GOWTHAMI KOORAPATI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076865

License Status

EXPIRED

Business

Title

First Name

GOWTHAMI

Last Name

KOORAPATI

Business Name

GOWTHAMI KOORAPATI MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/06/2024