NAVNEETH RAO BONGU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

NOT RENEWED

Business

First Name

NAVNEETH

Middle

RAO

Last Name

BONGU

Suffix

Business Name

NAVNEETH RAO BONGU MD

Original Issue Date

05/28/2009

Effective Date

05/28/2009

Expiration Date

07/31/2011

City

MELROSE PARK

State

Zip

60160

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011