GANAPATHI R GOTTUMUKKALA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

First Name

GANAPATHI R

Last Name

GOTTUMUKKALA

Business Name

GANAPATHI R GOTTUMUKKALA

Original Issue Date

07/09/1987

Effective Date

07/09/1987

Expiration Date

07/31/2002

City

HARVEY

State

Zip

60426

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020