The holder whose full name is VASIREDDY, PRASAD,come from JACKSONVILLE IL,hold the Physician license(NO.01033694A) which status is Expired Non-Renewable.
Name | VASIREDDY, PRASAD |
---|---|
License Number | 01033694A |
License Type | Physician |
License Status | Expired Non-Renewable |
City | JACKSONVILLE |
State | IL |