DILEEP KUMAR REDDY REGALLA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073936

License Status

CANCELLED

Business

Title

First Name

DILEEP

Middle

KUMAR REDDY

Last Name

REGALLA

Business Name

DILEEP KUMAR REDDY REGALLA MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/14/2019