SAMPATHKUMAR SHANMUGHAM Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013723

License Status

EXPIRED

Business

First Name

SAMPATHKUMAR

Last Name

SHANMUGHAM

Business Name

SAMPATHKUMAR SHANMUGHAM

Original Issue Date

03/31/1982

Effective Date

03/31/1982

Expiration Date

03/23/1984

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006