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Physician Last Name: | Gandotra | |||
Physician First Name: | Suresh | |||
Physician Middle Name: | ||||
Address: | 1107 Edmer Lane Oak Park, Illinois 60302 | |||
License Number: | 122274 | |||
License Type: | MD | |||
Year of Birth: | ||||
Effective Date: | 11/02/1992 | |||
Action Description for DOH Webpage: | License surrender | |||
Misconduct Description for DOH Webpage: | The physician did not contest the charge of having been convicted in Municipal Court ,Southeast District,Los Angeles, California of grand theft; presenting a false Medi Cal claim and aiding in the forgery of a prescription. | |||
License Limitations or Conditions for DOH Webpage: | ||||
Board Order: |
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