PRASAD VASIREDDY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054611

License Status

NOT RENEWED

Business

First Name

PRASAD

Last Name

VASIREDDY

Suffix

Business Name

PRASAD VASIREDDY MD

Original Issue Date

05/13/1977

Effective Date

05/16/2014

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/01/2017