VENKAT REDDY MANGUNTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036171924

License Status

ACTIVE

Business

Title

First Name

VENKAT

Middle

REDDY

Last Name

MANGUNTA

Business Name

VENKAT REDDY MANGUNTA MD

Original Issue Date

09/10/2024

Effective Date

09/10/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

Ever Disciplined

LastModifiedDate

09/10/2024