RAJENDRA RAO GAVINI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048700

License Status

INACTIVE

Business

First Name

RAJENDRA RAO

Last Name

GAVINI

Suffix

Business Name

RAJENDRA RAO GAVINI MD

Original Issue Date

02/05/1974

Effective Date

02/05/1974

Expiration Date

07/31/1987

City

ST LOUIS

State

Zip

63109

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006