KRISHNA KUMAR GANNAMANENI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103309

License Status

NOT RENEWED

Business

First Name

KRISHNA

Middle

KUMAR

Last Name

GANNAMANENI

Suffix

Business Name

KRISHNA KUMAR GANNAMANENI MD

Original Issue Date

08/21/2000

Effective Date

08/21/2000

Expiration Date

07/31/2005

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/09/2006