JISSILLE RAMA REDDY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010462

License Status

ACTIVE

Business

First Name

JISSILLE

Middle

RAMA

Last Name

REDDY

Business Name

JISSILLE RAMA REDDY

Original Issue Date

05/30/2024

Effective Date

01/31/2026

Expiration Date

03/01/2028

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/31/2026