MUDDASANI VENKAT REDDY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

First Name

MUDDASANI VENKAT

Last Name

REDDY

Suffix

Business Name

MUDDASANI VENKAT REDDY MD

Original Issue Date

10/07/1981

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

SAUGET

State

Zip

62206

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021