SHAHANA KAMALENTHIRAN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125083238

License Status

ACTIVE

Business

First Name

SHAHANA

Last Name

KAMALENTHIRAN

Business Name

SHAHANA KAMALENTHIRAN

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2027

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/22/2024