MADHURI SUBBAIAH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036614

License Status

EXPIRED

Business

First Name

MADHURI

Last Name

SUBBAIAH

Business Name

MADHURI SUBBAIAH

Original Issue Date

06/11/1997

Effective Date

06/11/1997

Expiration Date

06/30/2000

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006