SUJATA SUBRAMANIAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

ACTIVE

Business

First Name

SUJATA

Last Name

SUBRAMANIAN

Suffix

Business Name

SUJATA SUBRAMANIAN MD

Original Issue Date

12/10/2010

Effective Date

04/30/2024

Expiration Date

07/31/2026

City

CLEVELAND

State

Zip

44114

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/01/2024