BESAGARAHALLY C SHANKARA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

NOT RENEWED

Business

First Name

BESAGARAHALLY C

Last Name

SHANKARA

Suffix

Business Name

BESAGARAHALLY C SHANKARA MD

Original Issue Date

04/01/1985

Effective Date

08/06/2020

Expiration Date

07/31/2023

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023