RAJAGOPAL R NANDYAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

First Name

RAJAGOPAL

Middle

Last Name

NANDYAL

Suffix

Business Name

RAJAGOPAL R NANDYAL MD

Original Issue Date

05/04/2005

Effective Date

05/04/2005

Expiration Date

07/31/2008

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011