LALITHA SUBRAMANYAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

First Name

LALITHA

Last Name

SUBRAMANYAM

Suffix

Business Name

LALITHA SUBRAMANYAM MD

Original Issue Date

01/24/2005

Effective Date

01/24/2005

Expiration Date

07/31/2005

City

EVANSTON

State

Zip

60202

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006