RAMA RAO MEDAVARAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

RAMA RAO

Last Name

MEDAVARAM

Suffix

Business Name

RAMA RAO MEDAVARAM MD

Original Issue Date

03/16/1983

Effective Date

03/16/1983

Expiration Date

07/31/2008

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020