VIKRAM SAMPAT GAVANDE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000617

License Status

EXPIRED

Business

First Name

VIKRAM

Middle

SAMPAT

Last Name

GAVANDE

Suffix

Business Name

VIKRAM SAMPAT GAVANDE MD

Original Issue Date

06/14/2004

Effective Date

06/14/2004

Expiration Date

07/13/2004

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Radiation Oncology

Ever Disciplined

LastModifiedDate

09/25/2006