GOVARDHAN REDDY BOBBALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124130

License Status

NOT RENEWED

Business

First Name

GOVARDHAN

Middle

REDDY

Last Name

BOBBALA

Suffix

Business Name

GOVARDHAN REDDY BOBBALA MD

Original Issue Date

07/29/2009

Effective Date

04/12/2011

Expiration Date

07/31/2014

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

11/17/2014