RAJESH KANNAN ETHIRAJ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

ACTIVE

Business

First Name

RAJESH KANNAN

Last Name

ETHIRAJ

Suffix

Business Name

RAJESH KANNAN ETHIRAJ MD

Original Issue Date

08/26/2008

Effective Date

05/21/2023

Expiration Date

07/31/2026

City

QUINCY

State

Zip

62301

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/21/2023