SUSMITHA NIMMAGADDA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051264

License Status

EXPIRED

Business

First Name

SUSMITHA

Last Name

NIMMAGADDA

Suffix

Business Name

SUSMITHA NIMMAGADDA MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/15/2009