GEORGINA N SRINIVAS-RAO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

ACTIVE

Business

First Name

GEORGINA

Middle

Last Name

SRINIVAS-RAO

Suffix

Business Name

GEORGINA N SRINIVAS-RAO MD

Original Issue Date

10/13/1998

Effective Date

07/02/2023

Expiration Date

07/31/2026

City

SAINT CHARLES

State

Zip

60174

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/02/2023