NATASHA GAUTAM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077309

License Status

EXPIRED

Business

Title

First Name

NATASHA

Last Name

GAUTAM

Business Name

NATASHA GAUTAM MD

Original Issue Date

07/07/2021

Effective Date

07/07/2021

Expiration Date

07/06/2022

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatric Ophthalmology

Ever Disciplined

LastModifiedDate

10/11/2022