FNU SHAKUNTULLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147394

License Status

NOT RENEWED

Business

Title

First Name

FNU

Last Name

SHAKUNTULLA

Business Name

FNU SHAKUNTULLA MD

Original Issue Date

09/06/2018

Effective Date

09/09/2020

Expiration Date

07/31/2023

City

URBANA

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/30/2023