NANJAPPA C SOMANNA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

ACTIVE

Business

First Name

NANJAPPA

Middle

Last Name

SOMANNA

Suffix

Business Name

NANJAPPA C SOMANNA MD

Original Issue Date

12/19/2005

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

QUINCY

State

Zip

62305

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023