SHOBHA RANI NOOKALA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110093

License Status

ACTIVE

Business

First Name

SHOBHA

Middle

RANI

Last Name

NOOKALA

Suffix

Business Name

SHOBHA RANI NOOKALA MD

Original Issue Date

09/15/2003

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61602

County

PEORIA

Ever Disciplined

LastModifiedDate

07/08/2023