SAMUEL JAYAKARA RAO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

JAYAKARA

Last Name

RAO

Suffix

Business Name

SAMUEL JAYAKARA RAO MD

Original Issue Date

07/24/2006

Effective Date

07/24/2006

Expiration Date

07/31/2008

City

TINLEY PARK

State

Zip

60477

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008