VISHNU PRIYA REDDY NANGA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130131

License Status

NOT RENEWED

Business

Title

First Name

VISHNU

Middle

PRIYA REDDY

Last Name

NANGA

Business Name

VISHNU PRIYA REDDY NANGA MD

Original Issue Date

04/18/2012

Effective Date

06/12/2017

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/14/2021