SUBATHRA SELVARAJ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061203

License Status

EXPIRED

Business

First Name

SUBATHRA

Last Name

SELVARAJ

Suffix

Business Name

SUBATHRA SELVARAJ MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/04/2015