SUBBA RAO DAGGUBATI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052719

License Status

CANCELLED

Business

Title

First Name

SUBBA

Middle

RAO

Last Name

DAGGUBATI

Business Name

SUBBA RAO DAGGUBATI MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/26/2009