KAVITHA P REDDY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108796

License Status

NOT RENEWED

Business

First Name

KAVITHA

Middle

Last Name

REDDY

Suffix

Business Name

KAVITHA P REDDY MD

Original Issue Date

03/17/2003

Effective Date

05/18/2020

Expiration Date

07/31/2023

City

ST LOUIS

State

Zip

63108

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023