NIDHI REDDY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073125

License Status

CANCELLED

Business

Title

First Name

NIDHI

Last Name

REDDY

Business Name

NIDHI REDDY MD

Original Issue Date

06/24/2018

Effective Date

06/24/2018

Expiration Date

06/23/2021

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/17/2018