CHITTARANJAN V REDDY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

INACTIVE

Business

First Name

CHITTARANJAN V

Last Name

REDDY

Suffix

Business Name

CHITTARANJAN V REDDY MD

Original Issue Date

06/28/2021

Effective Date

06/28/2021

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61615

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/28/2021