SHANU KONDAMURI MD - Medical Doctor License in Indiana | # 036095832

SHANU KONDAMURI MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095832

License Status

NOT RENEWED

Business

N

First Name

SHANU

Last Name

KONDAMURI

Suffix

MD

Business Name

SHANU KONDAMURI MD

Original Issue Date

06/30/1997

Effective Date

09/18/2020

Expiration Date

07/31/2023

State

IN

Ever Disciplined

N

LastModifiedDate

11/30/2023