LATHA RAJASHANKAR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039019

License Status

CANCELLED

Business

First Name

LATHA

Last Name

RAJASHANKAR

Suffix

Business Name

LATHA RAJASHANKAR MD

Original Issue Date

06/26/1999

Effective Date

06/26/1999

Expiration Date

06/25/2002

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006