RUBEN SHANKAR CHANMUGATHAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

NOT RENEWED

Business

Title

First Name

RUBEN

Middle

SHANKAR

Last Name

CHANMUGATHAS

Business Name

RUBEN SHANKAR CHANMUGATHAS MD

Original Issue Date

06/12/2017

Effective Date

06/12/2017

Expiration Date

09/30/2020

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021