SHWETHA MANJUNATH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

ACTIVE

Business

First Name

SHWETHA

Last Name

MANJUNATH

Suffix

Business Name

SHWETHA MANJUNATH MD

Original Issue Date

06/08/2009

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

CREST HILL

State

Zip

60403

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/14/2023