SHIVA PRASAD SHASHIDHARAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137703

License Status

ACTIVE

Business

Title

First Name

SHIVA

Middle

PRASAD

Last Name

SHASHIDHARAN

Business Name

SHIVA PRASAD SHASHIDHARAN MD

Original Issue Date

04/01/2015

Effective Date

05/22/2023

Expiration Date

07/31/2026

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/22/2023