KAPULURU GAUTHAM REDDY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112012

License Status

ACTIVE

Business

First Name

KAPULURU

Middle

GAUTHAM

Last Name

REDDY

Suffix

Business Name

KAPULURU GAUTHAM REDDY MD

Original Issue Date

08/03/2004

Effective Date

07/24/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

07/24/2023