MUDDASANI VENKAT REDDY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

First Name

MUDDASANI VENKAT

Last Name

REDDY

Suffix

Business Name

MUDDASANI VENKAT REDDY MD

Original Issue Date

08/24/1988

Effective Date

08/24/1988

Expiration Date

07/31/2008

City

CHESTER

State

Zip

62233

County

RANDOLPH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020