SURYA RAO THOTA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

CANCELLED

Business

First Name

SURYA

Middle

RAO

Last Name

THOTA

Suffix

Business Name

SURYA RAO THOTA MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

FLINT

State

Zip

48504

County

MICHIGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006