MADHAVI REDDY MUPPIDI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035621

License Status

CANCELLED

Business

First Name

MADHAVI

Middle

REDDY

Last Name

MUPPIDI

Suffix

Business Name

MADHAVI REDDY MUPPIDI MD

Original Issue Date

03/20/1997

Effective Date

03/20/1997

Expiration Date

06/30/2000

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006