SANAGARAM S SHANTHARAM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019099

License Status

EXPIRED

Business

First Name

SANAGARAM

Middle

Last Name

SHANTHARAM

Suffix

Business Name

SANAGARAM S SHANTHARAM MD

Original Issue Date

01/14/1986

Effective Date

01/14/1986

Expiration Date

01/01/1989

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006