JAYANTI V S SUBBARAO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054422

License Status

NOT RENEWED

Business

First Name

JAYANTI V S

Last Name

SUBBARAO

Suffix

Business Name

JAYANTI V S SUBBARAO MD

Original Issue Date

04/14/1977

Effective Date

07/17/2017

Expiration Date

09/30/2020

City

WINFIELD

State

Zip

60190

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/14/2021