RAO S MORAVINENI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035017

License Status

EXPIRED

Business

First Name

RAO

Middle

Last Name

MORAVINENI

Suffix

Business Name

RAO S MORAVINENI MD

Original Issue Date

06/12/1996

Effective Date

06/12/1996

Expiration Date

06/30/1999

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006