NINA SRICHAND MENDA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

ACTIVE

Business

Title

First Name

NINA

Middle

SRICHAND

Last Name

MENDA

Business Name

NINA SRICHAND MENDA MD

Original Issue Date

09/13/2017

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

MIDDLETON

State

Zip

53562

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023