SUMA REDDY KAKI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

ACTIVE

Business

First Name

SUMA

Middle

REDDY

Last Name

KAKI

Suffix

Business Name

SUMA REDDY KAKI MD

Original Issue Date

03/15/2006

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

BOLINGBROOK

State

Zip

60490

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2023