NANDA K BYSANI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037965

License Status

EXPIRED

Business

First Name

NANDA

Middle

Last Name

BYSANI

Suffix

Business Name

NANDA K BYSANI MD

Original Issue Date

05/26/1998

Effective Date

05/26/1998

Expiration Date

06/30/2001

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

09/22/2006