GEETHA SIVASUBRAMANIAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125495

License Status

NOT RENEWED

Business

First Name

GEETHA

Last Name

SIVASUBRAMANIAN

Suffix

Business Name

GEETHA SIVASUBRAMANIAN MD

Original Issue Date

04/15/2010

Effective Date

06/21/2017

Expiration Date

09/30/2020

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

01/14/2021