SHIRISHA PEDDI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143377

License Status

NOT RENEWED

Business

Title

First Name

SHIRISHA

Last Name

PEDDI

Business Name

SHIRISHA PEDDI MD

Original Issue Date

06/05/2017

Effective Date

06/05/2017

Expiration Date

09/30/2020

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021