PREETHAM REDDY MUSKULA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

Title

First Name

PREETHAM

Middle

REDDY

Last Name

MUSKULA

Business Name

PREETHAM REDDY MUSKULA MD

Original Issue Date

12/02/2020

Effective Date

12/02/2020

Expiration Date

07/31/2023

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023