SUMA S RAO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106403

License Status

INACTIVE

Business

First Name

SUMA

Middle

Last Name

RAO

Suffix

Business Name

SUMA S RAO MD

Original Issue Date

03/01/2002

Effective Date

07/08/2008

Expiration Date

07/31/2011

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/07/2011