ANIL KUMAR REDDY REDDIVARI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123932

License Status

ACTIVE

Business

Title

First Name

ANIL

Middle

KUMAR REDDY

Last Name

REDDIVARI

Business Name

ANIL KUMAR REDDY REDDIVARI MD

Original Issue Date

07/07/2009

Effective Date

04/28/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

04/28/2023