SHRAVYA BOMMAVEDDI DO - Medical Doctor License in Illinois | # 125082829

SHRAVYA BOMMAVEDDI DO

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125082829

License Status

CANCELLED

Business

N

Title

DO

First Name

SHRAVYA

Last Name

BOMMAVEDDI

Business Name

SHRAVYA BOMMAVEDDI DO

Original Issue Date

07/03/2023

Effective Date

07/03/2023

Expiration Date

06/30/2026

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

10/27/2025