SUPRAJA REDDY REDDY REDDY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

ACTIVE

Business

Title

First Name

SUPRAJA

Middle

REDDY

Last Name

REDDY REDDY

Business Name

SUPRAJA REDDY REDDY REDDY MD

Original Issue Date

10/04/2016

Effective Date

06/08/2023

Expiration Date

07/31/2026

City

SAINT CHARLES

State

Zip

63303

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/08/2023