KAVITHA SUBRAMANIAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

ACTIVE

Business

First Name

KAVITHA

Last Name

SUBRAMANIAN

Suffix

Business Name

KAVITHA SUBRAMANIAN MD

Original Issue Date

02/22/2007

Effective Date

04/21/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/21/2023