LALITHA MAMILLA REDDY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104902

License Status

ACTIVE

Business

Title

First Name

LALITHA

Middle

MAMILLA

Last Name

REDDY

Business Name

LALITHA MAMILLA REDDY MD

Original Issue Date

06/05/2001

Effective Date

04/16/2023

Expiration Date

07/31/2026

City

BURR RIDGE

State

Zip

60527

County

COOK

Ever Disciplined

LastModifiedDate

06/22/2023