SHOBHA SHAMASUNDAR IYENGAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094136

License Status

ACTIVE

Business

First Name

SHOBHA

Middle

SHAMASUNDAR

Last Name

IYENGAR

Suffix

Business Name

SHOBHA SHAMASUNDAR IYENGAR MD

Original Issue Date

09/03/1996

Effective Date

05/22/2023

Expiration Date

07/31/2026

City

BELVIDERE

State

Zip

61008

Ever Disciplined

LastModifiedDate

05/22/2023