NAVEEN MAHASAMUDRAM REDDY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077757

License Status

CANCELLED

Business

Title

First Name

NAVEEN

Middle

MAHASAMUDRAM

Last Name

REDDY

Business Name

NAVEEN MAHASAMUDRAM REDDY MD

Original Issue Date

06/22/2021

Effective Date

06/22/2021

Expiration Date

06/21/2024

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/02/2021