BRAHMAMDAM JAGANNADHARAO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060004

License Status

ACTIVE

Business

First Name

BRAHMAMDAM

Last Name

JAGANNADHARAO

Business Name

BRAHMAMDAM JAGANNADHARAO

Original Issue Date

02/04/1980

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

DANVILLE

State

Zip

61832

Ever Disciplined

LastModifiedDate

05/02/2023