NIDA SUBHANI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125364

License Status

NOT RENEWED

Business

First Name

NIDA

Last Name

SUBHANI

Suffix

Business Name

NIDA SUBHANI MD

Original Issue Date

04/05/2010

Effective Date

07/17/2017

Expiration Date

09/30/2020

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

01/14/2021