YESHASWINI PANATHUR SREENIVASA REDDY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

ACTIVE

Business

Title

First Name

YESHASWINI

Last Name

PANATHUR SREENIVASA REDDY

Business Name

YESHASWINI PANATHUR SREENIVASA REDDY MD

Original Issue Date

06/07/2021

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61605

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/16/2023