SUJATHA A RAO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111928

License Status

ACTIVE

Business

First Name

SUJATHA

Middle

Last Name

RAO

Suffix

Business Name

SUJATHA A RAO MD

Original Issue Date

07/22/2004

Effective Date

05/18/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

05/18/2023