SUDHAKAR KATEEL SHENOY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064848

License Status

CANCELLED

Business

Title

First Name

SUDHAKAR

Middle

KATEEL

Last Name

SHENOY

Business Name

SUDHAKAR KATEEL SHENOY MD

Original Issue Date

12/01/2017

Effective Date

12/01/2017

Expiration Date

06/25/2018

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Child and Adolescent Psychiatry

Ever Disciplined

LastModifiedDate

11/28/2017