RAJESH RETHNAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

RAJESH

Last Name

RETHNAM

Suffix

Business Name

RAJESH RETHNAM MD

Original Issue Date

07/11/2006

Effective Date

07/11/2006

Expiration Date

07/31/2008

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011