MADHAVI REDDY MUPPIDI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

First Name

MADHAVI

Middle

REDDY

Last Name

MUPPIDI

Suffix

Business Name

MADHAVI REDDY MUPPIDI MD

Original Issue Date

03/17/1998

Effective Date

03/17/1998

Expiration Date

07/31/2002

City

HINES

State

Zip

60141

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006