SRINADH ODDIRAJU RAO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

SRINADH

Middle

ODDIRAJU

Last Name

RAO

Suffix

Business Name

SRINADH ODDIRAJU RAO MD

Original Issue Date

11/05/2007

Effective Date

11/05/2007

Expiration Date

07/31/2008

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

04/11/2017