HARSHAVARDHAN R TATHIREDDY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

Title

First Name

HARSHAVARDHAN

Middle

Last Name

TATHIREDDY

Business Name

HARSHAVARDHAN R TATHIREDDY MD

Original Issue Date

06/29/2012

Effective Date

05/25/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/25/2023