MITESH BHASKAR RAO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

Title

First Name

MITESH

Middle

BHASKAR

Last Name

RAO

Business Name

MITESH BHASKAR RAO MD

Original Issue Date

02/07/2013

Effective Date

07/25/2014

Expiration Date

07/31/2017

City

REDWOOD CITY

State

Zip

94061

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017