PENNA M REDDY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029141

License Status

EXPIRED

Business

First Name

PENNA M

Last Name

REDDY

Business Name

PENNA M REDDY

Original Issue Date

09/17/1992

Effective Date

09/17/1992

Expiration Date

08/06/1995

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006