DAVID THAMMADI SHASHIKANT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

THAMMADI

Last Name

SHASHIKANT

Suffix

Business Name

DAVID THAMMADI SHASHIKANT MD

Original Issue Date

06/15/2006

Effective Date

07/29/2011

Expiration Date

07/31/2014

City

INVERNESS

State

Zip

60010

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014