SANTOSH SOMU RAJA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084417

License Status

ACTIVE

Business

Title

First Name

SANTOSH

Middle

SOMU

Last Name

RAJA

Business Name

SANTOSH SOMU RAJA DO

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2027

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/07/2024