VISHNU VARDHAN R MADI REDDY Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

ACTIVE

Business

First Name

VISHNU VARDHAN R

Last Name

MADI REDDY

Business Name

VISHNU VARDHAN R MADI REDDY

Original Issue Date

07/30/1996

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

ORLAND PARK

State

Zip

60462

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2023