JAGATHI DEEPTHI GOVINDU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138781

License Status

ACTIVE

Business

Title

First Name

JAGATHI

Middle

DEEPTHI

Last Name

GOVINDU

Business Name

JAGATHI DEEPTHI GOVINDU MD

Original Issue Date

07/24/2015

Effective Date

05/13/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/13/2023