VIJAY KETAN REDDY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075443

License Status

CANCELLED

Business

Title

First Name

VIJAY

Middle

KETAN

Last Name

REDDY

Business Name

VIJAY KETAN REDDY MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/26/2020