DIVYA VENI SANEKOMMU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084931

License Status

ACTIVE

Business

Title

First Name

DIVYA

Middle

VENI

Last Name

SANEKOMMU

Business Name

DIVYA VENI SANEKOMMU MD

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2027

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/12/2024