NITIN DAS KUNNATHU PUTHANVEEDU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154682

License Status

ACTIVE

Business

Title

First Name

NITIN DAS

Last Name

KUNNATHU PUTHANVEEDU

Business Name

NITIN DAS KUNNATHU PUTHANVEEDU MD

Original Issue Date

11/04/2020

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

County

PEORIA

Ever Disciplined

LastModifiedDate

06/23/2023