INDIRA NANNAPANENI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111530

License Status

NOT RENEWED

Business

First Name

INDIRA

Last Name

NANNAPANENI

Suffix

Business Name

INDIRA NANNAPANENI MD

Original Issue Date

06/02/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CANTON

State

Zip

44718

County

COOK

Ever Disciplined

LastModifiedDate

12/08/2008