Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****13

NOT RENEWED

N

MD

SRINIVAS

PARVATHAREDDY

REDDY

SRINIVAS PARVATHAREDDY REDDY MD

07/20/2001

06/05/2017

09/30/2020

OLYMPIA FIELDS

IL

60461

COOK

II III IV V

N

01/14/2021