MUDDASANI VENKAT REDDY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

MUDDASANI VENKAT

Last Name

REDDY

Suffix

Business Name

MUDDASANI VENKAT REDDY MD

Original Issue Date

08/23/1996

Effective Date

08/23/1996

Expiration Date

07/31/2008

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020