SUBBANNA JAYAPRAKASH MD - Medical Doctor License in Wisconsin | # 036083854

SUBBANNA JAYAPRAKASH MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083854

License Status

NOT RENEWED

Business

N

First Name

SUBBANNA

Last Name

JAYAPRAKASH

Suffix

MD

Business Name

SUBBANNA JAYAPRAKASH MD

Original Issue Date

12/20/1991

Effective Date

07/31/2006

Expiration Date

07/31/2008

State

WI

Ever Disciplined

N

LastModifiedDate

11/06/2008