SHASHI PUTTASWAMY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027173

License Status

EXPIRED

Business

Title

First Name

SHASHI

Last Name

PUTTASWAMY

Business Name

SHASHI PUTTASWAMY MD

Original Issue Date

06/13/1991

Effective Date

06/13/1991

Expiration Date

06/30/1994

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006