PRAVEEN SRISATYA NIMMAGADDA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096839

License Status

NOT RENEWED

Business

First Name

PRAVEEN SRISATYA

Last Name

NIMMAGADDA

Business Name

PRAVEEN SRISATYA NIMMAGADDA

Original Issue Date

10/14/1997

Effective Date

10/14/1997

Expiration Date

07/31/2005

City

ST LOUIS

State

Zip

63129

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006