SEETHARAM REDDY MANNEM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075970

License Status

CANCELLED

Business

Title

First Name

SEETHARAM

Middle

REDDY

Last Name

MANNEM

Business Name

SEETHARAM REDDY MANNEM MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2022

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/20/2020