PADI KALYAN REDDY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136534

License Status

NOT RENEWED

Business

Title

First Name

PADI

Middle

KALYAN

Last Name

REDDY

Business Name

PADI KALYAN REDDY MD

Original Issue Date

09/22/2014

Effective Date

09/28/2020

Expiration Date

07/31/2023

City

SOUTHLAKE

State

Zip

76092

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023