The holder whose full name is Ginne, Purshotham Reddy,come from Champaign IL,hold the Physician license(NO.01069830A) which status is Expired.
Name | Ginne, Purshotham Reddy |
---|---|
License Number | 01069830A |
License Type | Physician |
License Status | Expired |
City | Champaign |
State | IL |