SUBASH MATHEW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047006

License Status

NOT RENEWED

Business

First Name

SUBASH

Last Name

MATHEW

Suffix

Business Name

SUBASH MATHEW MD

Original Issue Date

02/07/1973

Effective Date

02/07/1973

Expiration Date

07/01/1976

City

DEFIANCE

State

Zip

43512

County

OHIO

Ever Disciplined

LastModifiedDate

11/19/2008