KUCHIBHOTLA SUBBARAO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069722

License Status

NOT RENEWED

Business

First Name

KUCHIBHOTLA

Last Name

SUBBARAO

Suffix

Business Name

KUCHIBHOTLA SUBBARAO MD

Original Issue Date

10/22/1984

Effective Date

10/22/1984

Expiration Date

07/31/2002

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/23/2007