SWETHA VENNAVARAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141852

License Status

ACTIVE

Business

First Name

SWETHA

Last Name

VENNAVARAM

Suffix

Business Name

SWETHA VENNAVARAM MD

Original Issue Date

10/14/2016

Effective Date

07/01/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

County

PEORIA

Ever Disciplined

LastModifiedDate

07/01/2023