SHIVARAMAIAH SHASHIKUMAR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135951

License Status

INACTIVE

Business

Title

First Name

SHIVARAMAIAH

Last Name

SHASHIKUMAR

Business Name

SHIVARAMAIAH SHASHIKUMAR MD

Original Issue Date

07/16/2014

Effective Date

07/16/2014

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/12/2017