RUTA DIVGI RAO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

ACTIVE

Business

First Name

RUTA

Middle

DIVGI

Last Name

RAO

Suffix

Business Name

RUTA DIVGI RAO MD

Original Issue Date

07/26/2002

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/27/2023