TARIKU TADELE GUDURA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070266

License Status

CANCELLED

Business

Title

First Name

TARIKU

Middle

TADELE

Last Name

GUDURA

Business Name

TARIKU TADELE GUDURA MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

FISHERS

State

Zip

46038

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/27/2017