NAYANATARA VAYUGUNDLA RAO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036693

License Status

EXPIRED

Business

First Name

NAYANATARA

Middle

VAYUGUNDLA

Last Name

RAO

Suffix

Business Name

NAYANATARA VAYUGUNDLA RAO MD

Original Issue Date

06/12/1997

Effective Date

06/12/1997

Expiration Date

06/30/2000

City

N CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006