SASIREKHA PANDRAVADA DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076647

License Status

EXPIRED

Business

Title

First Name

SASIREKHA

Last Name

PANDRAVADA

Business Name

SASIREKHA PANDRAVADA DO

Original Issue Date

06/25/2020

Effective Date

06/25/2020

Expiration Date

06/24/2023

City

BOULDER

State

Zip

80303

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/06/2024