SRIVIDYA REDDY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060408

License Status

EXPIRED

Business

Title

First Name

SRIVIDYA

Last Name

REDDY

Business Name

SRIVIDYA REDDY MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

08/03/2014

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/13/2015