LAKSHMIPATHI G NOMULA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

Title

First Name

LAKSHMIPATHI

Middle

Last Name

NOMULA

Business Name

LAKSHMIPATHI G NOMULA MD

Original Issue Date

05/08/2014

Effective Date

05/08/2014

Expiration Date

07/31/2017

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020