GAUTAM A AGRAWAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113306

License Status

ACTIVE

Business

First Name

GAUTAM

Middle

Last Name

AGRAWAL

Suffix

Business Name

GAUTAM A AGRAWAL MD

Original Issue Date

03/22/2005

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

DALLAS

State

Zip

75219

Ever Disciplined

LastModifiedDate

12/13/2023