ANITHA RAO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

Title

First Name

ANITHA

Last Name

RAO

Business Name

ANITHA RAO MD

Original Issue Date

06/25/2014

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

URBANA

State

Zip

61801

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021