DEVAKI SIVASUBRAMANIAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

NOT RENEWED

Business

First Name

DEVAKI

Last Name

SIVASUBRAMANIAM

Suffix

Business Name

DEVAKI SIVASUBRAMANIAM MD

Original Issue Date

09/08/2003

Effective Date

02/16/2007

Expiration Date

07/31/2008

City

LISLE

State

Zip

60532

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011