NANDINI MENON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121015

License Status

NOT RENEWED

Business

First Name

NANDINI

Last Name

MENON

Suffix

Business Name

NANDINI MENON MD

Original Issue Date

05/27/2008

Effective Date

06/12/2017

Expiration Date

09/30/2020

City

VALPARAISO

State

Zip

46383

County

INDIANA

Ever Disciplined

LastModifiedDate

01/14/2021