JEEVANA SREEJA AMBATI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084109

License Status

ACTIVE

Business

Title

First Name

JEEVANA SREEJA

Last Name

AMBATI

Business Name

JEEVANA SREEJA AMBATI MD

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2026

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Endocrinology-Diabetes-Metabolism

Ever Disciplined

LastModifiedDate

06/01/2024