SUDHAKAR REDDY KONDA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052496

License Status

CANCELLED

Business

Title

First Name

SUDHAKAR

Middle

REDDY

Last Name

KONDA

Business Name

SUDHAKAR REDDY KONDA MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/14/2009