HARISH REDDY PATLOLLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

ACTIVE

Business

Title

First Name

HARISH

Middle

REDDY

Last Name

PATLOLLA

Business Name

HARISH REDDY PATLOLLA MD

Original Issue Date

06/26/2015

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

SAINT JOHN

State

Zip

46373

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II IV

Ever Disciplined

LastModifiedDate

08/01/2023