MALINI BHAGAVATHI 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

First Name

MALINI

Middle

BHAGAVATHI

Last Name

RAO

Suffix

Business Name

MALINI BHAGAVATHI RAO MD

Original Issue Date

07/14/2008

Effective Date

09/24/2012

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014