GOPIKA MYNENI Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102439

License Status

INACTIVE

Business

First Name

GOPIKA

Last Name

MYNENI

Business Name

GOPIKA MYNENI

Original Issue Date

05/08/2000

Effective Date

05/08/2000

Expiration Date

07/31/2002

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2006