AMULYA REDDY DWARAM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079972

License Status

CANCELLED

Business

Title

First Name

AMULYA

Middle

REDDY

Last Name

DWARAM

Business Name

AMULYA REDDY DWARAM MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

City

NORTH CHICAGO

State

Zip

60064

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/20/2025