SOUMYA NADELLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131025

License Status

NOT RENEWED

Business

Title

First Name

SOUMYA

Last Name

NADELLA

Business Name

SOUMYA NADELLA MD

Original Issue Date

08/01/2012

Effective Date

08/01/2012

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/17/2014