MOSHINI CHRISTINA SIVASUBRAMANIAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

Title

First Name

MOSHINI

Middle

CHRISTINA

Last Name

SIVASUBRAMANIAM

Business Name

MOSHINI CHRISTINA SIVASUBRAMANIAM MD

Original Issue Date

06/07/2017

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/04/2023