SHOBHA SHAMASUNDAR IYENGAR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032140

License Status

EXPIRED

Business

First Name

SHOBHA

Middle

SHAMASUNDAR

Last Name

IYENGAR

Suffix

Business Name

SHOBHA SHAMASUNDAR IYENGAR MD

Original Issue Date

07/07/1994

Effective Date

07/07/1994

Expiration Date

07/06/1997

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006