RUBEN SHANKAR CHANMUGATHAS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

ACTIVE

Business

Title

First Name

RUBEN

Middle

SHANKAR

Last Name

CHANMUGATHAS

Business Name

RUBEN SHANKAR CHANMUGATHAS MD

Original Issue Date

10/04/2021

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

LISLE

State

Zip

60532

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/20/2023