SWETHA KUMARA SANNAREDDY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****29

License Status

ACTIVE

Business

First Name

SWETHA

Middle

KUMARA

Last Name

SANNAREDDY

Business Name

SWETHA KUMARA SANNAREDDY

Original Issue Date

03/22/2018

Effective Date

01/09/2026

Expiration Date

03/01/2028

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/09/2026