VARAGUR R BALA SUBRAMANIAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093922

License Status

NOT RENEWED

Business

First Name

VARAGUR

Middle

R BALA

Last Name

SUBRAMANIAN

Suffix

Business Name

VARAGUR R BALA SUBRAMANIAN MD

Original Issue Date

08/07/1996

Effective Date

08/07/1996

Expiration Date

07/31/2002

City

EAST ALTON

State

Zip

62024

County

MADISON

Ever Disciplined

LastModifiedDate

10/09/2006