PRADEEP GOPALA REDDY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

ACTIVE

Business

First Name

PRADEEP

Last Name

GOPALA REDDY

Suffix

Business Name

PRADEEP GOPALA REDDY MD

Original Issue Date

10/16/2003

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

MARION

State

Zip

62959

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2023