CHAMUNDAMBIKA SHANMUGAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

First Name

CHAMUNDAMBIKA

Last Name

SHANMUGAM

Suffix

Business Name

CHAMUNDAMBIKA SHANMUGAM MD

Original Issue Date

11/21/2005

Effective Date

08/01/2011

Expiration Date

07/31/2014

City

CARBONDALE

State

Zip

62902

County

JACKSON

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/17/2014