SUBBA RAO DAGGUBATI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

Title

First Name

SUBBA

Middle

RAO

Last Name

DAGGUBATI

Business Name

SUBBA RAO DAGGUBATI MD

Original Issue Date

01/28/2010

Effective Date

01/28/2010

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011