ANITA REDDY DANDAMUDI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

NOT RENEWED

Business

First Name

ANITA

Last Name

REDDY DANDAMUDI

Suffix

Business Name

ANITA REDDY DANDAMUDI MD

Original Issue Date

04/28/2011

Effective Date

06/12/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017