VISHNU VARDHAN R MADI REDDY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

VISHNU VARDHAN R

Last Name

MADI REDDY

Business Name

VISHNU VARDHAN R MADI REDDY

Original Issue Date

10/19/1995

Effective Date

10/19/1995

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020