MADHAVI REDDY MANUBOLU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

ACTIVE

Business

First Name

MADHAVI

Middle

REDDY

Last Name

MANUBOLU

Suffix

Business Name

MADHAVI REDDY MANUBOLU MD

Original Issue Date

12/07/2006

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60540

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/28/2023