LAKSHMI BALASUBRAMANIAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

First Name

LAKSHMI

Last Name

BALASUBRAMANIAN

Suffix

Business Name

LAKSHMI BALASUBRAMANIAN MD

Original Issue Date

02/18/2004

Effective Date

02/18/2004

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008