VIDYA SHANKARAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134925

License Status

NOT RENEWED

Business

Title

First Name

VIDYA

Last Name

SHANKARAN

Business Name

VIDYA SHANKARAN MD

Original Issue Date

04/04/2014

Effective Date

05/18/2017

Expiration Date

09/30/2020

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

01/14/2021