SWETHA VENNAVARAM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062491

License Status

CANCELLED

Business

First Name

SWETHA

Last Name

VENNAVARAM

Suffix

Business Name

SWETHA VENNAVARAM MD

Original Issue Date

11/01/2015

Effective Date

11/01/2015

Expiration Date

12/31/2016

City

PEORIA

State

Zip

61605

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

04/01/2015