VARAGUR R BALA SUBRAMANIAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

First Name

VARAGUR

Middle

R BALA

Last Name

SUBRAMANIAN

Suffix

Business Name

VARAGUR R BALA SUBRAMANIAN MD

Original Issue Date

08/09/1996

Effective Date

08/09/1996

Expiration Date

07/31/2002

City

EAST ALTON

State

Zip

62024

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006