PADMARAJ DATTATREY DUVVURI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142673

License Status

ACTIVE

Business

Title

First Name

PADMARAJ

Middle

DATTATREY

Last Name

DUVVURI

Business Name

PADMARAJ DATTATREY DUVVURI MD

Original Issue Date

03/14/2017

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

07/21/2023