SUJATHA G GOVINDAIAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060186

License Status

NOT RENEWED

Business

First Name

SUJATHA G

Last Name

GOVINDAIAH

Suffix

Business Name

SUJATHA G GOVINDAIAH MD

Original Issue Date

04/01/1980

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

01/14/2021