ANJALI V SUBBASWAMY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043640

License Status

EXPIRED

Business

First Name

ANJALI

Middle

Last Name

SUBBASWAMY

Business Name

ANJALI V SUBBASWAMY

Original Issue Date

07/03/2001

Effective Date

07/03/2001

Expiration Date

07/02/2004

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006