MADHAVI KUPPI REDDY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066045

License Status

EXPIRED

Business

Title

First Name

MADHAVI

Last Name

KUPPI REDDY

Business Name

MADHAVI KUPPI REDDY MD

Original Issue Date

08/18/2014

Effective Date

08/18/2014

Expiration Date

08/17/2017

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

11/01/2017