LAKKANNA PADMARAJU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

LAKKANNA

Last Name

PADMARAJU

Suffix

Business Name

LAKKANNA PADMARAJU MD

Original Issue Date

04/10/1990

Effective Date

04/10/1990

Expiration Date

07/31/1996

City

MORRISON

State

Zip

61270

County

WHITESIDE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011