MADHUSUDAN REDDY MALLADI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

ACTIVE

Business

Title

First Name

MADHUSUDAN

Middle

REDDY

Last Name

MALLADI

Business Name

MADHUSUDAN REDDY MALLADI MD

Original Issue Date

05/10/1994

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/07/2023