MADHAVI REDDY MANUBOLU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

MADHAVI

Middle

REDDY

Last Name

MANUBOLU

Suffix

Business Name

MADHAVI REDDY MANUBOLU MD

Original Issue Date

12/04/2007

Effective Date

07/06/2011

Expiration Date

07/31/2014

City

PLAINFIELD

State

Zip

60585

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020