DUTTALA OBULA REDDY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062417

License Status

NOT RENEWED

Business

Title

First Name

DUTTALA

Middle

OBULA

Last Name

REDDY

Business Name

DUTTALA OBULA REDDY MD

Original Issue Date

07/01/1981

Effective Date

04/08/2014

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/01/2017

Case Number

2017012398

Action

Suspension

Discipline Start Date

08/19/2019

Discipline Reason

after respondent agreed to be excluded as Medicare/Medicaid provider pursuant to settlement agreement with the United State Department of Justice.