GOVINDARAJU SUBRAMANI MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058678

License Status

INACTIVE

Business

Title

First Name

GOVINDARAJU

Last Name

SUBRAMANI

Business Name

GOVINDARAJU SUBRAMANI MD

Original Issue Date

05/17/1979

Effective Date

12/29/2011

Expiration Date

07/31/2014

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

04/20/2015

Case Number

2014000064

Action

Surrender In Lieu Of Other Discipline

Discipline Start Date

04/07/2015

Discipline Reason

due to prior discipline by the states of Ohio and Wisconsin.