GAUTAM DEHADRAI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104610

License Status

NOT RENEWED

Business

First Name

GAUTAM

Last Name

DEHADRAI

Suffix

Business Name

GAUTAM DEHADRAI MD

Original Issue Date

04/30/2001

Effective Date

04/30/2001

Expiration Date

07/31/2005

City

ALBUQUERQUE

State

Zip

87111

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

10/09/2006