MADHU SUDAN REDDY GORLA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

ACTIVE

Business

First Name

MADHU

Middle

SUDAN REDDY

Last Name

GORLA

Business Name

MADHU SUDAN REDDY GORLA

Original Issue Date

10/18/2001

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

GLENVIEW

State

Zip

60026

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

04/08/2023