SANJAY SUBRAMANIAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

ACTIVE

Business

Title

First Name

SANJAY

Last Name

SUBRAMANIAN

Business Name

SANJAY SUBRAMANIAN MD

Original Issue Date

10/06/2014

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

LADUE

State

Zip

63124

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/20/2023