AVINISH DEVUNI REDDY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

ACTIVE

Business

Title

First Name

AVINISH

Middle

DEVUNI

Last Name

REDDY

Business Name

AVINISH DEVUNI REDDY MD

Original Issue Date

04/04/2018

Effective Date

09/30/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61104

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/30/2023