The holder whose full name is Illuri, Pandu Ranga Reddy,come from Freeport IL,hold the Physician license(NO.01062797A) which status is Expired Non-Renewable.
Name | Illuri, Pandu Ranga Reddy |
---|---|
License Number | 01062797A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | Freeport |
State | IL |