SHYAMASUNDAR BALASUBRAMANYA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128188

License Status

NOT RENEWED

Business

Title

First Name

SHYAMASUNDAR

Last Name

BALASUBRAMANYA

Business Name

SHYAMASUNDAR BALASUBRAMANYA MD

Original Issue Date

06/23/2011

Effective Date

04/21/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017