ANISH CHANDRA GONCHIGAR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079196

License Status

CANCELLED

Business

Title

First Name

ANISH

Middle

CHANDRA

Last Name

GONCHIGAR

Business Name

ANISH CHANDRA GONCHIGAR MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2023

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

Interventional Radiology - Independent

Ever Disciplined

LastModifiedDate

03/09/2022