SWETHA PEDAVALLY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069510

License Status

EXPIRED

Business

Title

First Name

SWETHA

Last Name

PEDAVALLY

Business Name

SWETHA PEDAVALLY MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Clinical Neurophysiology

Ever Disciplined

LastModifiedDate

09/19/2017