SHATHABISH SHIMOGA KARIYANNA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140918

License Status

NOT RENEWED

Business

Title

First Name

SHATHABISH

Middle

SHIMOGA

Last Name

KARIYANNA

Business Name

SHATHABISH SHIMOGA KARIYANNA MD

Original Issue Date

06/14/2016

Effective Date

06/14/2016

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017