SMITA GAUTAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

ACTIVE

Business

Title

First Name

SMITA

Last Name

GAUTAM

Business Name

SMITA GAUTAM MD

Original Issue Date

07/17/2014

Effective Date

07/30/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60603

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/30/2023