VIJAY K NAMA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

VIJAY K

Last Name

NAMA

Suffix

Business Name

VIJAY K NAMA MD

Original Issue Date

05/01/1996

Effective Date

05/01/1996

Expiration Date

07/31/2005

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006