BHAVANA GORTI DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080975

License Status

CANCELLED

Business

Title

First Name

BHAVANA

Last Name

GORTI

Business Name

BHAVANA GORTI DO

Original Issue Date

06/27/2022

Effective Date

06/27/2022

Expiration Date

06/26/2025

City

HINSDALE

State

Zip

60521

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/14/2025