SRINIVAS PARVATHAREDDY REDDY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098182

License Status

NOT RENEWED

Business

Title

First Name

SRINIVAS

Middle

PARVATHAREDDY

Last Name

REDDY

Business Name

SRINIVAS PARVATHAREDDY REDDY MD

Original Issue Date

07/06/1998

Effective Date

06/05/2017

Expiration Date

09/30/2020

City

FRANKFORT

State

Zip

60423

County

WILL

Ever Disciplined

LastModifiedDate

01/14/2021