SURESH KRISHNAMOORTHY MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042618259

License Status

NOT RENEWED

Business

Business Name

SURESH KRISHNAMOORTHY MD SC

Original Issue Date

06/01/2004

Effective Date

12/20/2021

Expiration Date

01/01/2025

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

04/03/2025