KAVYA MORAVINENI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067338

License Status

CANCELLED

Business

Title

First Name

KAVYA

Last Name

MORAVINENI

Business Name

KAVYA MORAVINENI MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

08/30/2019

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

04/24/2018