SAMUEL JAYAKARA RAO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112110

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

JAYAKARA

Last Name

RAO

Suffix

Business Name

SAMUEL JAYAKARA RAO MD

Original Issue Date

08/13/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

WILLIAMSPORT

State

Zip

21795

Ever Disciplined

LastModifiedDate

11/06/2008