KRISHNA KANTH REDDY MANDA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136899

License Status

ACTIVE

Business

Title

First Name

KRISHNA

Middle

KANTH REDDY

Last Name

MANDA

Business Name

KRISHNA KANTH REDDY MANDA MD

Original Issue Date

12/10/2014

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/13/2023