SHOBANA SUNDARAM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046916

License Status

CANCELLED

Business

First Name

SHOBANA

Last Name

SUNDARAM

Suffix

Business Name

SHOBANA SUNDARAM MD

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2006

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Neonatal-Perinatal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006