RENUKA B NIGAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056557

License Status

NOT RENEWED

Business

First Name

RENUKA B

Last Name

NIGAM

Suffix

Business Name

RENUKA B NIGAM MD

Original Issue Date

03/14/1978

Effective Date

03/14/1978

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/20/2006