ASHWINI GOTIMUKUL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078263

License Status

EXPIRED

Business

Title

First Name

ASHWINI

Last Name

GOTIMUKUL

Business Name

ASHWINI GOTIMUKUL MD

Original Issue Date

06/25/2021

Effective Date

06/25/2021

Expiration Date

06/24/2024

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/30/2024