VENKEDESH RAJU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

Title

First Name

VENKEDESH

Last Name

RAJU

Business Name

VENKEDESH RAJU MD

Original Issue Date

03/05/2009

Effective Date

05/11/2017

Expiration Date

09/30/2020

City

DUNLAP

State

Zip

61525

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021