ANURADHA SHANMUGHAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117936

License Status

NOT RENEWED

Business

First Name

ANURADHA

Last Name

SHANMUGHAM

Suffix

Business Name

ANURADHA SHANMUGHAM MD

Original Issue Date

03/28/2007

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/14/2021