RAVALI POREDDY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

ACTIVE

Business

Title

First Name

RAVALI

Last Name

POREDDY

Business Name

RAVALI POREDDY MD

Original Issue Date

08/02/2023

Effective Date

08/02/2023

Expiration Date

07/31/2026

City

COLUMBIA

State

Zip

65203

County

BOONE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/02/2023