KAPULURU GAUTHAM REDDY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

ACTIVE

Business

First Name

KAPULURU

Middle

GAUTHAM

Last Name

REDDY

Suffix

Business Name

KAPULURU GAUTHAM REDDY MD

Original Issue Date

08/05/2004

Effective Date

07/24/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2023