NENITA MAGANTI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036169395

License Status

ACTIVE

Business

Title

First Name

NENITA

Last Name

MAGANTI

Business Name

NENITA MAGANTI MD

Original Issue Date

03/19/2024

Effective Date

03/19/2024

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61704

Ever Disciplined

LastModifiedDate

02/04/2024