KANAN GUTGUTIA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

ACTIVE

Business

Title

First Name

KANAN

Last Name

GUTGUTIA

Business Name

KANAN GUTGUTIA MD

Original Issue Date

11/02/2012

Effective Date

05/23/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60610

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/23/2023