NAGENDRA V MYNENI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033499

License Status

EXPIRED

Business

First Name

NAGENDRA V

Last Name

MYNENI

Business Name

NAGENDRA V MYNENI

Original Issue Date

06/21/1995

Effective Date

06/21/1995

Expiration Date

06/25/1998

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006