SRINIVASA REDDY MADIREDDY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047065

License Status

CANCELLED

Business

First Name

SRINIVASA

Middle

REDDY

Last Name

MADIREDDY

Suffix

Business Name

SRINIVASA REDDY MADIREDDY MD

Original Issue Date

08/05/2003

Effective Date

08/05/2003

Expiration Date

08/04/2006

City

CHICAGO

State

Zip

60649

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006