VENKAT KONDRAGUN RAO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

NOT RENEWED

Business

First Name

VENKAT KONDRAGUN

Last Name

RAO

Business Name

VENKAT KONDRAGUN RAO

Original Issue Date

01/01/1997

Expiration Date

07/31/1996

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006