NAGENDRA V MYNENI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095975

License Status

NOT RENEWED

Business

First Name

NAGENDRA V

Last Name

MYNENI

Business Name

NAGENDRA V MYNENI

Original Issue Date

07/08/1997

Effective Date

07/08/1997

Expiration Date

07/31/2005

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2006