SANAGARAM S SHANTHARAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

First Name

SANAGARAM

Middle

Last Name

SHANTHARAM

Suffix

Business Name

SANAGARAM S SHANTHARAM MD

Original Issue Date

04/07/1987

Effective Date

04/07/1987

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006