KALYANI GAVINI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119523

License Status

ACTIVE

Business

First Name

KALYANI

Last Name

GAVINI

Suffix

Business Name

KALYANI GAVINI MD

Original Issue Date

10/12/2007

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CENTREVILLE

State

Zip

62207

Ever Disciplined

LastModifiedDate

04/06/2023