GOUTHAM RAO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127458

License Status

NOT RENEWED

Business

Title

First Name

GOUTHAM

Last Name

RAO

Business Name

GOUTHAM RAO MD

Original Issue Date

04/04/2011

Effective Date

07/07/2014

Expiration Date

07/31/2017

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017