JAGADEESWARA RAO MUSUNURU MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059469

License Status

NOT RENEWED

Business

First Name

JAGADEESWARA RAO

Last Name

MUSUNURU

Suffix

Business Name

JAGADEESWARA RAO MUSUNURU MD

Original Issue Date

09/18/1979

Effective Date

09/18/1979

Expiration Date

07/01/1982

City

TINLEY PARK

State

Zip

60477

County

NEBRASKA

Ever Disciplined

LastModifiedDate

09/20/2006