DIVYA KONDAMAREDDY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059007

License Status

EXPIRED

Business

First Name

DIVYA

Last Name

KONDAMAREDDY

Suffix

Business Name

DIVYA KONDAMAREDDY MD

Original Issue Date

06/14/2011

Effective Date

06/14/2011

Expiration Date

06/13/2014

City

MELROSE PARK

State

Zip

60160

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/13/2015