NAYAN SHIVASHANKAR GOWDA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

ACTIVE

Business

Title

First Name

NAYAN

Middle

SHIVASHANKAR

Last Name

GOWDA

Business Name

NAYAN SHIVASHANKAR GOWDA MD

Original Issue Date

08/25/2011

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

LOMBARD

State

Zip

60148

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/22/2023