LAKSHMI REDDY BEERAVOLU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

Title

First Name

LAKSHMI

Middle

REDDY

Last Name

BEERAVOLU

Business Name

LAKSHMI REDDY BEERAVOLU MD

Original Issue Date

09/13/2012

Effective Date

04/30/2014

Expiration Date

07/31/2017

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020