NANJAPPA C SOMANNA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114910

License Status

ACTIVE

Business

First Name

NANJAPPA

Middle

Last Name

SOMANNA

Suffix

Business Name

NANJAPPA C SOMANNA MD

Original Issue Date

11/23/2005

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

04/12/2023