KOSURI V SUBBAIAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058264

License Status

NOT RENEWED

Business

First Name

KOSURI V

Last Name

SUBBAIAH

Suffix

Business Name

KOSURI V SUBBAIAH MD

Original Issue Date

12/19/1978

Effective Date

12/19/1978

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006