MANTENA S RAJU MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

CANCELLED

Business

First Name

MANTENA S

Last Name

RAJU

Suffix

Business Name

MANTENA S RAJU MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

EVANSTON

State

Zip

60202

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006