RAMA RAO MEDAVARAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

ACTIVE

Business

First Name

RAMA RAO

Last Name

MEDAVARAM

Suffix

Business Name

RAMA RAO MEDAVARAM MD

Original Issue Date

07/17/1990

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

CALUMET CITY

State

Zip

60409

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/29/2023