NAGESH GOLLAHALLI SHIVARAMAIAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058696

License Status

EXPIRED

Business

Title

First Name

NAGESH

Last Name

GOLLAHALLI SHIVARAMAIAH

Business Name

NAGESH GOLLAHALLI SHIVARAMAIAH MD

Original Issue Date

07/26/2010

Effective Date

07/26/2010

Expiration Date

07/25/2013

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/07/2013