SHANMUGAM LAKSHMANAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

NOT RENEWED

Business

First Name

SHANMUGAM

Last Name

LAKSHMANAN

Business Name

SHANMUGAM LAKSHMANAN

Original Issue Date

01/01/1997

Effective Date

06/14/2017

Expiration Date

09/30/2020

City

SALEM

State

Zip

62881

County

MARION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021