CHAMUNDAMBIKA SHANMUGAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

First Name

CHAMUNDAMBIKA

Last Name

SHANMUGAM

Suffix

Business Name

CHAMUNDAMBIKA SHANMUGAM MD

Original Issue Date

09/29/2021

Effective Date

09/29/2021

Expiration Date

07/31/2023

City

DANVILLE

State

Zip

61832

County

VERMILION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/30/2023