AISWARYA LAKSHMI NANDAKUMAR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074800

License Status

EXPIRED

Business

Title

First Name

AISWARYA LAKSHMI

Last Name

NANDAKUMAR

Business Name

AISWARYA LAKSHMI NANDAKUMAR MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2020

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

11/19/2020