VENKATA SATISH DONTARAJU MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054868

License Status

CANCELLED

Business

Title

First Name

VENKATA

Middle

SATISH

Last Name

DONTARAJU

Business Name

VENKATA SATISH DONTARAJU MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

ROCKFORD

State

Zip

61114

County

BOONE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/25/2011