SHUBHADA MUCHINTALA REDDY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

ACTIVE

Business

Title

First Name

SHUBHADA

Middle

MUCHINTALA

Last Name

REDDY

Business Name

SHUBHADA MUCHINTALA REDDY MD

Original Issue Date

08/12/2024

Effective Date

08/12/2024

Expiration Date

07/31/2026

City

LINCOLNSHIRE

State

Zip

60069

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/12/2024