PADMA I RAJU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

First Name

PADMA I

Last Name

RAJU

Suffix

Business Name

PADMA I RAJU MD

Original Issue Date

04/10/2003

Effective Date

04/10/2003

Expiration Date

07/31/2008

City

MARYVILLE

State

Zip

62062

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008