GEETHA MUDDASANI REDDY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

ACTIVE

Business

First Name

GEETHA

Middle

MUDDASANI

Last Name

REDDY

Suffix

Business Name

GEETHA MUDDASANI REDDY MD

Original Issue Date

06/23/1999

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/15/2023