SHUBHADA MUCHINTALA REDDY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070770

License Status

EXPIRED

Business

Title

First Name

SHUBHADA

Middle

MUCHINTALA

Last Name

REDDY

Business Name

SHUBHADA MUCHINTALA REDDY MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

PEORIA

State

Zip

61605

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

11/19/2020