CHIRANJEEVI PRAMODNATH REDDY SIDDAGUNTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150584

License Status

NOT RENEWED

Business

Title

First Name

CHIRANJEEVI

Middle

PRAMODNATH REDDY

Last Name

SIDDAGUNTA

Business Name

CHIRANJEEVI PRAMODNATH REDDY SIDDAGUNTA MD

Original Issue Date

08/24/2019

Effective Date

09/17/2020

Expiration Date

07/31/2023

City

CORALVILLE

State

Zip

52241

County

JOHNSON

Ever Disciplined

LastModifiedDate

11/30/2023