SHASHINATH CHANDRAHASEGOWDA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

ACTIVE

Business

First Name

SHASHINATH

Last Name

CHANDRAHASEGOWDA

Suffix

Business Name

SHASHINATH CHANDRAHASEGOWDA MD

Original Issue Date

07/02/2007

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/12/2023