SHASHIREKHA K SHETTY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

SHASHIREKHA

Middle

Last Name

SHETTY

Suffix

Business Name

SHASHIREKHA K SHETTY MD

Original Issue Date

05/04/2005

Effective Date

05/04/2005

Expiration Date

07/31/2008

City

CAIRO

State

Zip

62914

County

ALEXANDER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008