SRINIVAS R SURABHI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033253

License Status

EXPIRED

Business

First Name

SRINIVAS R

Last Name

SURABHI

Suffix

Business Name

SRINIVAS R SURABHI MD

Original Issue Date

06/10/1995

Effective Date

06/10/1995

Expiration Date

06/30/1998

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006