SURYA RAO THOTA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

ACTIVE

Business

First Name

SURYA

Middle

RAO

Last Name

THOTA

Suffix

Business Name

SURYA RAO THOTA MD

Original Issue Date

05/15/2024

Effective Date

05/15/2024

Expiration Date

07/31/2026

City

AURORA

State

Zip

60504

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/15/2024