UMANG GAUTAM Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098327

License Status

INACTIVE

Business

First Name

UMANG

Last Name

GAUTAM

Business Name

UMANG GAUTAM

Original Issue Date

07/16/1998

Effective Date

07/16/1998

Expiration Date

07/31/1999

City

COLUMBIA

State

Zip

65203

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006