SREEDHAR REDDY MADIREDDY 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

Title

First Name

SREEDHAR

Middle

REDDY

Last Name

MADIREDDY

Business Name

SREEDHAR REDDY MADIREDDY MD

Original Issue Date

06/27/2012

Effective Date

05/13/2014

Expiration Date

07/31/2017

City

LAKE BLUFF

State

Zip

60044

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017