BETTAIAH THIMME GOWDA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

First Name

BETTAIAH

Middle

THIMME

Last Name

GOWDA

Suffix

Business Name

BETTAIAH THIMME GOWDA MD

Original Issue Date

08/29/1997

Effective Date

08/29/1997

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/05/2020