BABUJI REDDY GANDRA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

ACTIVE

Business

Title

First Name

BABUJI

Middle

REDDY

Last Name

GANDRA

Business Name

BABUJI REDDY GANDRA MD

Original Issue Date

08/12/2023

Effective Date

08/12/2023

Expiration Date

07/31/2026

City

DAVENPORT

State

Zip

52807

County

SCOTT

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/12/2023