GAYATRI KOLLURU BAKER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

ACTIVE

Business

Title

First Name

GAYATRI

Middle

KOLLURU

Last Name

BAKER

Business Name

GAYATRI KOLLURU BAKER DO

Original Issue Date

07/16/2018

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

ELGIN

State

Zip

60123

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/22/2023