SUJATHA A RAO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

ACTIVE

Business

First Name

SUJATHA

Middle

Last Name

RAO

Suffix

Business Name

SUJATHA A RAO MD

Original Issue Date

07/28/2004

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/07/2023