RAJA MURUGAN SUBRAMANIYAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158905

License Status

ACTIVE

Business

Title

First Name

RAJA MURUGAN

Last Name

SUBRAMANIYAM

Business Name

RAJA MURUGAN SUBRAMANIYAM MD

Original Issue Date

12/03/2021

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/28/2023