ASWATH NARAIN SUBRAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

First Name

ASWATH NARAIN

Last Name

SUBRAM

Suffix

Business Name

ASWATH NARAIN SUBRAM MD

Original Issue Date

01/01/1997

Effective Date

07/16/2014

Expiration Date

07/31/2017

City

MOKENA

State

Zip

60448

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020