BOUYELLA H REDDY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

ACTIVE

Business

First Name

BOUYELLA

Middle

Last Name

REDDY

Suffix

Business Name

BOUYELLA H REDDY MD

Original Issue Date

06/04/1998

Effective Date

07/14/2023

Expiration Date

07/31/2026

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/14/2023