REDDIAH B MUMMANENI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043368

License Status

CANCELLED

Business

First Name

REDDIAH

Middle

Last Name

MUMMANENI

Suffix

Business Name

REDDIAH B MUMMANENI MD

Original Issue Date

06/20/2001

Effective Date

06/20/2001

Expiration Date

06/19/2004

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006