LATHA SHIVASHANKAR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074546

License Status

INACTIVE

Business

First Name

LATHA

Last Name

SHIVASHANKAR

Suffix

Business Name

LATHA SHIVASHANKAR MD

Original Issue Date

03/02/1987

Effective Date

03/02/1987

Expiration Date

07/31/1987

City

JACKSONVILLE

State

Zip

32223

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/20/2006