SHASHIKUMAR RH GOWDA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

First Name

SHASHIKUMAR

Middle

Last Name

GOWDA

Suffix

Business Name

SHASHIKUMAR RH GOWDA MD

Original Issue Date

07/26/1995

Effective Date

07/26/1995

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020