SHANTI P SUBBARAO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139178

License Status

ACTIVE

Business

First Name

SHANTI

Middle

Last Name

SUBBARAO

Business Name

SHANTI P SUBBARAO

Original Issue Date

09/29/2015

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

HANOVER PARK

State

Zip

60133

County

COOK

Ever Disciplined

LastModifiedDate

07/21/2023