ANJANEYA REDDY PUPPALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053630

License Status

NOT RENEWED

Business

First Name

ANJANEYA REDDY

Last Name

PUPPALA

Suffix

Business Name

ANJANEYA REDDY PUPPALA MD

Original Issue Date

09/17/1976

Effective Date

09/17/1976

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Ever Disciplined

LastModifiedDate

09/20/2006