SHEILA GURUDATH RAO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****54

License Status

NOT RENEWED

Business

First Name

SHEILA

Middle

GURUDATH

Last Name

RAO

Business Name

SHEILA GURUDATH RAO

Original Issue Date

08/17/2005

Effective Date

08/17/2005

Expiration Date

03/01/2008

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

10/11/2006