VIVEK BALASUBRAMANIAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139822

License Status

ACTIVE

Business

Title

First Name

VIVEK

Last Name

BALASUBRAMANIAM

Business Name

VIVEK BALASUBRAMANIAM MD

Original Issue Date

02/22/2016

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

MIDDLETON

State

Zip

53562

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/15/2023