SHOBANA RAJAGOPAL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110614

License Status

NOT RENEWED

Business

First Name

SHOBANA

Last Name

RAJAGOPAL

Business Name

SHOBANA RAJAGOPAL

Original Issue Date

12/19/2003

Effective Date

12/19/2003

Expiration Date

07/31/2005

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

10/09/2006