GAYATRI SHANGARI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122613

License Status

ACTIVE

Business

First Name

GAYATRI

Last Name

SHANGARI

Suffix

Business Name

GAYATRI SHANGARI MD

Original Issue Date

02/13/2009

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/17/2024

Case Number

2024006022

Action

Suspension

Discipline Start Date

09/16/2024

Discipline End Date

11/04/2024

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 11/06/2024.