SUBRAMANIAN VENKATARAMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

ACTIVE

Business

First Name

SUBRAMANIAN

Last Name

VENKATARAMAN

Suffix

Business Name

SUBRAMANIAN VENKATARAMAN MD

Original Issue Date

07/11/2002

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

WILLOWBROOK

State

Zip

62527

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2023