GAUTAM D DESAI Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077773

License Status

INACTIVE

Business

First Name

GAUTAM D

Last Name

DESAI

Business Name

GAUTAM D DESAI

Original Issue Date

09/24/1988

Effective Date

09/24/1988

Expiration Date

07/31/1990

City

VIRGINIA BEACH

State

Zip

23455

County

VIRGINIA

Ever Disciplined

LastModifiedDate

09/20/2006