SHARADA NAGOTU KAMBAGIRI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

Title

First Name

SHARADA

Last Name

NAGOTU KAMBAGIRI

Business Name

SHARADA NAGOTU KAMBAGIRI MD

Original Issue Date

07/29/2010

Effective Date

06/10/2011

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014