LALITHA MAMILLA REDDY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

ACTIVE

Business

Title

First Name

LALITHA

Middle

MAMILLA

Last Name

REDDY

Business Name

LALITHA MAMILLA REDDY MD

Original Issue Date

04/07/2003

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

BURR RIDGE

State

Zip

60527

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/23/2023