PRITHVI REDDY BOMDICA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075754

License Status

CANCELLED

Business

Title

First Name

PRITHVI

Middle

REDDY

Last Name

BOMDICA

Business Name

PRITHVI REDDY BOMDICA MD

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2024

City

SAINT LOUIS

State

Zip

63144

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

05/23/2023