ANURADHA KANTAMNENI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110607

License Status

NOT RENEWED

Business

First Name

ANURADHA

Last Name

KANTAMNENI

Suffix

Business Name

ANURADHA KANTAMNENI MD

Original Issue Date

12/18/2003

Effective Date

05/08/2017

Expiration Date

09/30/2020

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

01/14/2021