RAM RAO PEDDADA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

First Name

RAM

Middle

RAO

Last Name

PEDDADA

Suffix

Business Name

RAM RAO PEDDADA MD

Original Issue Date

04/14/2003

Effective Date

04/14/2003

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006