SUMANA SHASHIDHAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125083474

License Status

ACTIVE

Business

Title

First Name

SUMANA

Last Name

SHASHIDHAR

Business Name

SUMANA SHASHIDHAR MD

Original Issue Date

06/24/2024

Effective Date

06/24/2024

Expiration Date

06/23/2027

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/04/2024