MAMATHA R REDDY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

ACTIVE

Business

Title

First Name

MAMATHA

Middle

Last Name

REDDY

Business Name

MAMATHA R REDDY MD

Original Issue Date

05/02/2008

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023