PUSHPA NAMBI JOSEPH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102993

License Status

NOT RENEWED

Business

First Name

PUSHPA

Middle

NAMBI

Last Name

JOSEPH

Suffix

Business Name

PUSHPA NAMBI JOSEPH MD

Original Issue Date

07/10/2000

Effective Date

07/10/2000

Expiration Date

07/31/2005

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/17/2011