RAO S GOURKANTI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

RAO S

Last Name

GOURKANTI

Suffix

Business Name

RAO S GOURKANTI MD

Original Issue Date

10/18/1988

Effective Date

10/18/1988

Expiration Date

07/31/1993

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006