VENUGOPAL RAO POLASANI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056262

License Status

ACTIVE

Business

First Name

VENUGOPAL RAO

Last Name

POLASANI

Suffix

Business Name

VENUGOPAL RAO POLASANI MD

Original Issue Date

12/30/1977

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

MAHOMET

State

Zip

61853

Ever Disciplined

LastModifiedDate

04/18/2023