HEMANTH SHIMOGA LINGADEVARU MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048468

License Status

EXPIRED

Business

First Name

HEMANTH

Middle

SHIMOGA

Last Name

LINGADEVARU

Suffix

Business Name

HEMANTH SHIMOGA LINGADEVARU MD

Original Issue Date

12/07/2004

Effective Date

12/07/2004

Expiration Date

12/06/2007

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

01/03/2008