SAGUN GAUTAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

ACTIVE

Business

First Name

SAGUN

Last Name

GAUTAM

Suffix

Business Name

SAGUN GAUTAM MD

Original Issue Date

10/20/2009

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/26/2023