RAJESH GORANTLA GOVINDAIAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116464

License Status

ACTIVE

Business

First Name

RAJESH

Middle

GORANTLA

Last Name

GOVINDAIAH

Suffix

Business Name

RAJESH GORANTLA GOVINDAIAH MD

Original Issue Date

07/12/2006

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/18/2025