VIJETA REDDY PAMUDURTHY DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066400

License Status

CANCELLED

Business

Title

First Name

VIJETA

Middle

REDDY

Last Name

PAMUDURTHY

Business Name

VIJETA REDDY PAMUDURTHY DO

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Specialty/Qualifier

Gastroenterology

Ever Disciplined

LastModifiedDate

05/25/2018