SAI R NIMMAGADDA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

ACTIVE

Business

First Name

SAI R

Last Name

NIMMAGADDA

Business Name

SAI R NIMMAGADDA

Original Issue Date

02/20/1997

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/20/2023