MUDDASANI VENKAT REDDY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053850

License Status

NOT RENEWED

Business

First Name

MUDDASANI VENKAT

Last Name

REDDY

Suffix

Business Name

MUDDASANI VENKAT REDDY MD

Original Issue Date

11/19/1976

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

SAUGET

State

Zip

62206

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

01/14/2021