JAYANTI V S SUBBARAO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

First Name

JAYANTI V S

Last Name

SUBBARAO

Suffix

Business Name

JAYANTI V S SUBBARAO MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020