SHIVANI KUNDUR REDDY DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135267

License Status

NOT RENEWED

Business

Title

First Name

SHIVANI

Middle

KUNDUR

Last Name

REDDY

Business Name

SHIVANI KUNDUR REDDY DO

Original Issue Date

05/05/2014

Effective Date

05/05/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017