SUMITRA SUBRAMANYAM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054848

License Status

EXPIRED

Business

Title

First Name

SUMITRA

Last Name

SUBRAMANYAM

Business Name

SUMITRA SUBRAMANYAM MD

Original Issue Date

06/16/2008

Effective Date

06/16/2008

Expiration Date

06/15/2009

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

07/15/2009