DEEPTHI TAKKALAPELLI RAO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

NOT RENEWED

Business

Title

First Name

DEEPTHI

Middle

TAKKALAPELLI

Last Name

RAO

Business Name

DEEPTHI TAKKALAPELLI RAO MD

Original Issue Date

09/11/2014

Effective Date

09/11/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60605

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017