PRITHAM PINGLI REDDY MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****78

NOT RENEWED

N

PRITHAM

PINGLI

REDDY

MD

PRITHAM PINGLI REDDY MD

06/27/2005

08/21/2008

07/31/2011

SPRINGFIELD

IL

62794

SANGAMON

II III IV V

N

11/10/2011