VIDYA KOLLU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158801

License Status

ACTIVE

Business

Title

First Name

VIDYA

Last Name

KOLLU

Business Name

VIDYA KOLLU MD

Original Issue Date

11/18/2021

Effective Date

07/01/2023

Expiration Date

07/31/2026

City

BETTENDORF

State

Zip

52722

Ever Disciplined

LastModifiedDate

07/01/2023