SUBRAHMANYAM CHIVUKULA MD - Medical Doctor License in Illinois | # 036060896

SUBRAHMANYAM CHIVUKULA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060896

License Status

NOT RENEWED

Business

N

First Name

SUBRAHMANYAM

Last Name

CHIVUKULA

Suffix

MD

Business Name

SUBRAHMANYAM CHIVUKULA MD

Original Issue Date

09/11/1980

Effective Date

09/11/1980

Expiration Date

07/31/1987

State

IL

Ever Disciplined

N

LastModifiedDate

11/21/2011