TARA KANT NIGAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049119

License Status

NOT RENEWED

Business

First Name

TARA KANT

Last Name

NIGAM

Suffix

Business Name

TARA KANT NIGAM MD

Original Issue Date

03/26/1974

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/14/2011