SUBBU J SARMA Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

CANCELLED

Business

First Name

SUBBU

Middle

Last Name

SARMA

Business Name

SUBBU J SARMA

Original Issue Date

09/16/2002

Effective Date

09/16/2002

Expiration Date

07/31/2005

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006