SIDDHARTHA ANNAMRAJU 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

SIDDHARTHA

Middle

ANNAMRAJU

Last Name

RAO

Business Name

SIDDHARTHA ANNAMRAJU RAO MD

Original Issue Date

01/16/2014

Effective Date

01/16/2014

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014