SURESH KRISHNAMOORTHY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091773

License Status

ACTIVE

Business

First Name

SURESH

Last Name

KRISHNAMOORTHY

Suffix

Business Name

SURESH KRISHNAMOORTHY MD

Original Issue Date

09/06/1995

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

06/09/2023