NAGANNA CHANNAVEERAIAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122083

License Status

NOT RENEWED

Business

Title

First Name

NAGANNA

Last Name

CHANNAVEERAIAH

Business Name

NAGANNA CHANNAVEERAIAH MD

Original Issue Date

10/17/2008

Effective Date

04/15/2014

Expiration Date

07/31/2017

City

FOREST HILLS

State

Zip

11375

Ever Disciplined

LastModifiedDate

11/01/2017