HARIGOVINDA REDDY CHALLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

Title

First Name

HARIGOVINDA

Middle

REDDY

Last Name

CHALLA

Business Name

HARIGOVINDA REDDY CHALLA MD

Original Issue Date

12/27/2016

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/29/2023