PRATHIMA NAGIREDDY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

Title

First Name

PRATHIMA

Last Name

NAGIREDDY

Business Name

PRATHIMA NAGIREDDY MD

Original Issue Date

05/16/2019

Effective Date

05/21/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60657

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023