KAVITHA SUBRAMANIAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044545

License Status

EXPIRED

Business

First Name

KAVITHA

Last Name

SUBRAMANIAN

Suffix

Business Name

KAVITHA SUBRAMANIAN MD

Original Issue Date

06/23/2002

Effective Date

06/23/2002

Expiration Date

06/22/2005

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006