MALLAVARAPU S RAO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044645

License Status

NOT RENEWED

Business

First Name

MALLAVARAPU

Middle

Last Name

RAO

Suffix

Business Name

MALLAVARAPU S RAO MD

Original Issue Date

08/09/1971

Effective Date

04/30/2014

Expiration Date

07/31/2017

City

CAHOKIA

State

Zip

62206

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

11/01/2017