NANDINI MENON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049321

License Status

EXPIRED

Business

First Name

NANDINI

Last Name

MENON

Suffix

Business Name

NANDINI MENON MD

Original Issue Date

06/20/2005

Effective Date

06/20/2005

Expiration Date

06/30/2008

City

VALPARAISO

State

Zip

46383

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

07/31/2008