VIJAYA NAMA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035099

License Status

EXPIRED

Business

First Name

VIJAYA

Last Name

NAMA

Business Name

VIJAYA NAMA

Original Issue Date

06/15/1996

Effective Date

06/15/1996

Expiration Date

06/30/1999

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006