KODEM S RAO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045673

License Status

NOT RENEWED

Business

First Name

KODEM S

Last Name

RAO

Suffix

Business Name

KODEM S RAO MD

Original Issue Date

06/16/1972

Effective Date

06/16/1972

City

DARIEN

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006