NIVEDITHA S REDDY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042285

License Status

EXPIRED

Business

First Name

NIVEDITHA

Middle

Last Name

REDDY

Suffix

Business Name

NIVEDITHA S REDDY MD

Original Issue Date

05/22/2001

Effective Date

05/22/2001

Expiration Date

06/11/2004

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006