NITIN JAGDISH ENGINEER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

NITIN

Middle

JAGDISH

Last Name

ENGINEER

Suffix

Business Name

NITIN JAGDISH ENGINEER MD

Original Issue Date

01/12/2007

Effective Date

06/10/2008

Expiration Date

07/31/2011

City

LOUISVILLE KY 40241

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011