MALINI BHAGAVATHI RAO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

NOT RENEWED

Business

First Name

MALINI

Middle

BHAGAVATHI

Last Name

RAO

Suffix

Business Name

MALINI BHAGAVATHI RAO MD

Original Issue Date

08/24/2007

Effective Date

09/24/2012

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014