RAGHAVENDRA S RAO MD - Medical Doctor License in New York | # 33*****60

RAGHAVENDRA S RAO MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

N

Title

MD

First Name

RAGHAVENDRA

Middle

S

Last Name

RAO

Business Name

RAGHAVENDRA S RAO MD

Original Issue Date

02/09/2022

Effective Date

02/09/2022

Expiration Date

07/31/2023

State

NY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

11/30/2023