ANJALI MALLA REDDY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****61

License Status

NOT RENEWED

Business

First Name

ANJALI

Middle

MALLA

Last Name

REDDY

Business Name

ANJALI MALLA REDDY

Original Issue Date

07/30/2020

Effective Date

10/13/2021

Expiration Date

09/30/2024

City

RIVERDALE

State

Zip

60827

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025