PRITHVI REDDY BOMDICA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

Title

First Name

PRITHVI

Middle

REDDY

Last Name

BOMDICA

Business Name

PRITHVI REDDY BOMDICA MD

Original Issue Date

04/04/2024

Effective Date

04/04/2024

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63144

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/09/2024