HARSHAVARDHAN REDDY GHADIAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139804

License Status

ACTIVE

Business

Title

First Name

HARSHAVARDHAN

Middle

REDDY

Last Name

GHADIAM

Business Name

HARSHAVARDHAN REDDY GHADIAM MD

Original Issue Date

02/18/2016

Effective Date

07/05/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

07/05/2023