SHRAVYA BOMMAVEDDI DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125082829

License Status

CANCELLED

Business

Title

First Name

SHRAVYA

Last Name

BOMMAVEDDI

Business Name

SHRAVYA BOMMAVEDDI DO

Original Issue Date

07/03/2023

Effective Date

07/03/2023

Expiration Date

06/30/2026

City

HINSDALE

State

Zip

60521

County

MCLEAN

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/27/2025