VAMSI KRISHNA VASIREDDY Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

ACTIVE

Business

First Name

VAMSI

Middle

KRISHNA

Last Name

VASIREDDY

Business Name

VAMSI KRISHNA VASIREDDY

Original Issue Date

07/20/2006

Effective Date

06/17/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/17/2023