VENKAT KRISHNA RAJASURYA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130003

License Status

NOT RENEWED

Business

Title

First Name

VENKAT

Middle

KRISHNA

Last Name

RAJASURYA

Business Name

VENKAT KRISHNA RAJASURYA MD

Original Issue Date

04/09/2012

Effective Date

05/19/2017

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62711

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021