RAVICHANDRA REDDY BOYELLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139035

License Status

NOT RENEWED

Business

Title

First Name

RAVICHANDRA

Middle

REDDY

Last Name

BOYELLA

Business Name

RAVICHANDRA REDDY BOYELLA MD

Original Issue Date

08/28/2015

Effective Date

08/10/2017

Expiration Date

09/30/2020

City

GADSDEN

State

Zip

35901

Ever Disciplined

LastModifiedDate

01/14/2021