DEVENDRA KOGANTI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000256

License Status

EXPIRED

Business

First Name

DEVENDRA

Last Name

KOGANTI

Suffix

Business Name

DEVENDRA KOGANTI MD

Original Issue Date

09/14/2005

Effective Date

09/14/2005

Expiration Date

05/31/2006

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/23/2006