DHEERA ADULLA REDDY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

NOT RENEWED

Business

Title

First Name

DHEERA

Middle

ADULLA

Last Name

REDDY

Business Name

DHEERA ADULLA REDDY MD

Original Issue Date

06/27/2019

Effective Date

06/27/2019

Expiration Date

09/30/2020

City

LEMOYNE

State

Zip

17043

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021