RAJA MURUGAN SUBRAMANIYAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

ACTIVE

Business

Title

First Name

RAJA MURUGAN

Last Name

SUBRAMANIYAM

Business Name

RAJA MURUGAN SUBRAMANIYAM MD

Original Issue Date

12/10/2021

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/20/2023