Credential Summary - Renewal Requirements

Credential Summary for 52580-20
Name: Rao, Gowtham A
Credential Type: MEDICINE AND SURGERY (20)
Credential Number: 52580-20
Location: PRINCETON, NJ
License Type: regular
Status License is current (Active)
Eligible To Practice: credential license is current
First Fee Received: YES

DetailsRequirementsPaymentsOrdersRelationships
Renewal requirements for the year: 2021
Requirement Code Complied? Complied Date
FEE requirement complied 09/26/2022
LFN requirement complied 09/26/2022
SIG requirement complied 09/26/2022


Requirement Code Description

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