License holder summary

Damoder Reddy Kesireddy is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Damoder Reddy Kesireddy is Medical Staffing Office, 7950 W Jefferson Blvd, Fort Wayne IN 46804. This licensed professional license is current. The license was granted 03/16/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Damoder Reddy Kesireddy
Controlled Substance Registration - Physician
License number
01030928B
Date granted
03/16/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Medical Staffing Office, 7950 W Jefferson Blvd, Fort Wayne IN 46804
indianalicensing.org
ID 5853126
LAST UPDATED 2024-04-29 15:30:17 UTC

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