CHETAN NARASANNA GOWDA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

ACTIVE

Business

Title

First Name

CHETAN

Middle

NARASANNA

Last Name

GOWDA

Business Name

CHETAN NARASANNA GOWDA MD

Original Issue Date

07/19/2017

Effective Date

04/29/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/29/2023