NIVEDITHA S REDDY 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

NIVEDITHA

Middle

Last Name

REDDY

Suffix

Business Name

NIVEDITHA S REDDY MD

Original Issue Date

07/24/2006

Effective Date

06/04/2008

Expiration Date

07/31/2011

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011