NIKHIL REDDY VATTI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075449

License Status

CANCELLED

Business

Title

First Name

NIKHIL

Middle

REDDY

Last Name

VATTI

Business Name

NIKHIL REDDY VATTI MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/31/2020