SHRUTHI G REDDY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055653

License Status

CANCELLED

Business

Title

First Name

SHRUTHI

Middle

Last Name

REDDY

Business Name

SHRUTHI G REDDY MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

04/06/2009