VENUGOPAL RAO POLASANI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

First Name

VENUGOPAL RAO

Last Name

POLASANI

Suffix

Business Name

VENUGOPAL RAO POLASANI MD

Original Issue Date

01/01/1997

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2023