BAKKIAM SUBBIAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049109

License Status

NOT RENEWED

Business

First Name

BAKKIAM

Last Name

SUBBIAH

Suffix

Business Name

BAKKIAM SUBBIAH MD

Original Issue Date

03/26/1974

Effective Date

06/13/2011

Expiration Date

07/31/2014

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

11/17/2014