GOPIKA MYNENI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036114

License Status

EXPIRED

Business

First Name

GOPIKA

Last Name

MYNENI

Business Name

GOPIKA MYNENI

Original Issue Date

05/15/1997

Effective Date

05/15/1997

Expiration Date

06/25/2000

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006