HARSHAVARDHAN REDDY GHADIAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

ACTIVE

Business

Title

First Name

HARSHAVARDHAN

Middle

REDDY

Last Name

GHADIAM

Business Name

HARSHAVARDHAN REDDY GHADIAM MD

Original Issue Date

03/04/2016

Effective Date

07/05/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/05/2023