SHREEDHAR MADHAV NAGNUR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

CANCELLED

Business

First Name

SHREEDHAR

Middle

MADHAV

Last Name

NAGNUR

Suffix

Business Name

SHREEDHAR MADHAV NAGNUR MD

Original Issue Date

02/16/2001

Effective Date

02/16/2001

Expiration Date

07/31/2002

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006