RAJANI POTU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110590

License Status

NOT RENEWED

Business

First Name

RAJANI

Last Name

POTU

Suffix

Business Name

RAJANI POTU MD

Original Issue Date

12/16/2003

Effective Date

12/16/2003

Expiration Date

07/31/2005

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/09/2006