RAGHAVENDRA S RAO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

Title

First Name

RAGHAVENDRA

Middle

Last Name

RAO

Business Name

RAGHAVENDRA S RAO MD

Original Issue Date

02/09/2022

Effective Date

02/09/2022

Expiration Date

07/31/2023

City

NEW YORK

State

Zip

10029

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023