VISWESWARA RAO TATINI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

First Name

VISWESWARA

Middle

RAO

Last Name

TATINI

Suffix

Business Name

VISWESWARA RAO TATINI MD

Original Issue Date

02/24/2005

Effective Date

02/24/2005

Expiration Date

07/31/2008

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020