KUSUMA C RAO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066727

License Status

INACTIVE

Business

First Name

KUSUMA C

Last Name

RAO

Business Name

KUSUMA C RAO

Original Issue Date

06/21/1983

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

BROOKFIELD

State

Zip

53005

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/05/2020