SHATHABISH SHIMOGA KARIYANNA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

Title

First Name

SHATHABISH

Middle

SHIMOGA

Last Name

KARIYANNA

Business Name

SHATHABISH SHIMOGA KARIYANNA MD

Original Issue Date

06/14/2016

Effective Date

06/14/2016

Expiration Date

07/31/2017

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017