MANOGNA NOOKATHOTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143222

License Status

NOT RENEWED

Business

Title

First Name

MANOGNA

Last Name

NOOKATHOTA

Business Name

MANOGNA NOOKATHOTA MD

Original Issue Date

05/17/2017

Effective Date

06/04/2020

Expiration Date

07/31/2023

City

CARBONDALE

State

Zip

62901

County

DOUGLAS

Ever Disciplined

LastModifiedDate

11/30/2023