SATHISH J SUBBAIAH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

CANCELLED

Business

Title

First Name

SATHISH

Middle

Last Name

SUBBAIAH

Business Name

SATHISH J SUBBAIAH MD

Original Issue Date

07/14/2008

Effective Date

07/14/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011