MOHAN RAO NUTHAKKI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

ACTIVE

Business

Title

First Name

MOHAN

Middle

RAO

Last Name

NUTHAKKI

Business Name

MOHAN RAO NUTHAKKI MD

Original Issue Date

11/06/2024

Effective Date

11/06/2024

Expiration Date

07/31/2026

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2024