GOKULAKRISHNAN BALASUBRAMANIAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053981

License Status

EXPIRED

Business

Title

First Name

GOKULAKRISHNAN

Last Name

BALASUBRAMANIAN

Business Name

GOKULAKRISHNAN BALASUBRAMANIAN MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/19/2011