SUBBA RAO DAGGUBATI MD - Medical Doctor License in Illinois | # 125052719

SUBBA RAO DAGGUBATI MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052719

License Status

CANCELLED

Business

N

Title

MD

First Name

SUBBA

Middle

RAO

Last Name

DAGGUBATI

Business Name

SUBBA RAO DAGGUBATI MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

10/26/2009