SEETHARAM REDDY MANNEM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

Title

First Name

SEETHARAM

Middle

REDDY

Last Name

MANNEM

Business Name

SEETHARAM REDDY MANNEM MD

Original Issue Date

12/20/2021

Effective Date

06/30/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/30/2023