K M BALASUBRAMANIYAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054969

License Status

NOT RENEWED

Business

First Name

K M

Last Name

BALASUBRAMANIYAM

Suffix

Business Name

K M BALASUBRAMANIYAM MD

Original Issue Date

07/14/1977

Effective Date

07/14/1977

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

03/24/2007

Case Number

1977000003

Action

Revocation

Discipline Start Date

05/15/1978