The holder whose full name is Reddy, Kartik Mannapuram,come from Madison WI,hold the Physician license(NO.01061905A) which status is Expired Non-Renewable.
Name | Reddy, Kartik Mannapuram |
---|---|
License Number | 01061905A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | Madison |
State | WI |