SUSILA SUBRAMANIAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

ACTIVE

Business

First Name

SUSILA

Last Name

SUBRAMANIAN

Suffix

Business Name

SUSILA SUBRAMANIAN MD

Original Issue Date

09/04/1981

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

DES PLAINES

State

Zip

60016

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023