MALLIKARJUNA RAO ANNE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

INACTIVE

Business

First Name

MALLIKARJUNA RAO

Last Name

ANNE

Suffix

Business Name

MALLIKARJUNA RAO ANNE MD

Original Issue Date

01/01/1997

Effective Date

06/25/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017