SHAM M VENGURLEKAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076182

License Status

NOT RENEWED

Business

First Name

SHAM M

Last Name

VENGURLEKAR

Suffix

Business Name

SHAM M VENGURLEKAR MD

Original Issue Date

10/15/1987

Effective Date

07/14/2014

Expiration Date

07/31/2017

City

PHOENIX

State

Zip

85054

Ever Disciplined

LastModifiedDate

07/24/2018