PARISHURAMA S REDDY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

PARISHURAMA

Middle

Last Name

REDDY

Suffix

Business Name

PARISHURAMA S REDDY MD

Original Issue Date

09/13/2004

Effective Date

09/13/2004

Expiration Date

07/31/2008

City

TOLONO

State

Zip

61880

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011