JISSILLE RAMA REDDY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****22

License Status

ACTIVE

Business

First Name

JISSILLE

Middle

RAMA

Last Name

REDDY

Business Name

JISSILLE RAMA REDDY

Original Issue Date

09/03/2024

Effective Date

01/31/2026

Expiration Date

03/01/2028

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/31/2026