SHARATHSHIVA VALAIYADUPPU SUBAS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081630

License Status

ACTIVE

Business

Title

First Name

SHARATHSHIVA

Last Name

VALAIYADUPPU SUBAS

Business Name

SHARATHSHIVA VALAIYADUPPU SUBAS MD

Original Issue Date

06/25/2023

Effective Date

06/25/2023

Expiration Date

06/24/2026

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/04/2023