BHUVANESWARI SUBRAMANIAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

ACTIVE

Business

First Name

BHUVANESWARI

Last Name

SUBRAMANIAN

Suffix

Business Name

BHUVANESWARI SUBRAMANIAN MD

Original Issue Date

06/28/2005

Effective Date

08/08/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/08/2023