License Directory

Subbia Goundar Jagannathan Md

Expired

Illinois license 33*****69

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
33*****69
Status
Expired (Not Renewed)
First issued
March 3, 1998
Expired
July 31, 2017
License holder
Subbia Goundar Jagannathan Md
Entity type
Individual

Classifications

More from the license record

Controlled substance schedules
II III IV V
Current term began
06/02/2014

Other Illinois licenses under this name

Contact

Galesburg, IL 61401
Knox County