ASMITHA PRABHAKARA REDDY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125082983

License Status

ACTIVE

Business

Title

First Name

ASMITHA

Middle

PRABHAKARA

Last Name

REDDY

Business Name

ASMITHA PRABHAKARA REDDY MD

Original Issue Date

06/29/2023

Effective Date

06/29/2023

Expiration Date

06/28/2026

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/29/2023