SIVASANKARA REDDY KONALA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107614

License Status

ACTIVE

Business

First Name

SIVASANKARA

Middle

REDDY

Last Name

KONALA

Suffix

Business Name

SIVASANKARA REDDY KONALA MD

Original Issue Date

08/05/2002

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

CREVE COEUR

State

Zip

63141

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/18/2023