ANIL KUMAR REDDY REDDIVARI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

ACTIVE

Business

Title

First Name

ANIL

Middle

KUMAR REDDY

Last Name

REDDIVARI

Business Name

ANIL KUMAR REDDY REDDIVARI MD

Original Issue Date

07/09/2009

Effective Date

04/28/2023

Expiration Date

07/31/2026

City

DUNLAP

State

Zip

61525

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/28/2023