PREETAM REDDY BOLLAMPALLY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

ACTIVE

Business

Title

First Name

PREETAM

Middle

REDDY

Last Name

BOLLAMPALLY

Business Name

PREETAM REDDY BOLLAMPALLY MD

Original Issue Date

08/27/2018

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

MT VERNON

State

Zip

62864

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/01/2023