KOMMULA C RAO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

KOMMULA C

Last Name

RAO

Suffix

Business Name

KOMMULA C RAO MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

FOREST PARK

State

Zip

60130

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006