SHASHI PUTTASWAMY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

Title

First Name

SHASHI

Last Name

PUTTASWAMY

Business Name

SHASHI PUTTASWAMY MD

Original Issue Date

06/12/2012

Effective Date

06/12/2012

Expiration Date

07/31/2014

City

DANVILLE

State

Zip

61832

County

VERMILION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017