SHASHIDHAR SUBBANNA Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036951

License Status

CANCELLED

Business

First Name

SHASHIDHAR

Last Name

SUBBANNA

Business Name

SHASHIDHAR SUBBANNA

Original Issue Date

06/26/1997

Effective Date

06/26/1997

Expiration Date

06/23/2000

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006