PRAVEEN R ANEGONDHI SUDHINDRA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142107

License Status

ACTIVE

Business

Title

First Name

PRAVEEN

Middle

Last Name

ANEGONDHI SUDHINDRA

Business Name

PRAVEEN R ANEGONDHI SUDHINDRA MD

Original Issue Date

12/15/2016

Effective Date

05/27/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61636

County

PEORIA

Ever Disciplined

LastModifiedDate

05/27/2023