RAGHU SHANTAN REDDY MARRI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

ACTIVE

Business

Title

First Name

RAGHU SHANTAN

Middle

REDDY

Last Name

MARRI

Business Name

RAGHU SHANTAN REDDY MARRI MD

Original Issue Date

12/11/2013

Effective Date

04/27/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/27/2023