GEETHA SIVASUBRAMANIAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047878

License Status

EXPIRED

Business

First Name

GEETHA

Last Name

SIVASUBRAMANIAN

Suffix

Business Name

GEETHA SIVASUBRAMANIAN MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

07/31/2007

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

08/29/2007