PURSHOTHAM REDDY GINNE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

ACTIVE

Business

Title

First Name

PURSHOTHAM

Middle

REDDY

Last Name

GINNE

Business Name

PURSHOTHAM REDDY GINNE MD

Original Issue Date

07/01/2011

Effective Date

04/29/2025

Expiration Date

07/31/2026

City

COLORADO SPRINGS

State

Zip

80924

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/29/2025