VIJAYA NAMA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098837

License Status

NOT RENEWED

Business

First Name

VIJAYA

Last Name

NAMA

Business Name

VIJAYA NAMA

Original Issue Date

08/20/1998

Effective Date

08/20/1998

Expiration Date

07/31/2005

City

EAST ST. LOUIS

State

Zip

62201

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/09/2006