VENKAT KONDRAGUN RAO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060029

License Status

NOT RENEWED

Business

First Name

VENKAT KONDRAGUN

Last Name

RAO

Business Name

VENKAT KONDRAGUN RAO

Original Issue Date

02/19/1980

Effective Date

02/19/1980

Expiration Date

07/31/1996

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

09/20/2006