S NANDKUMAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054213

License Status

NOT RENEWED

Business

First Name

Last Name

NANDKUMAR

Suffix

Business Name

S NANDKUMAR MD

Original Issue Date

03/11/1977

Effective Date

09/27/2017

Expiration Date

09/30/2020

City

SAVOY

State

Zip

61874

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/14/2021