SUBBANNA JAYAPRAKASH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083854

License Status

NOT RENEWED

Business

First Name

SUBBANNA

Last Name

JAYAPRAKASH

Suffix

Business Name

SUBBANNA JAYAPRAKASH MD

Original Issue Date

12/20/1991

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

RACINE

State

Zip

53406

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/06/2008