VIDYA SHANKARAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

Title

First Name

VIDYA

Last Name

SHANKARAN

Business Name

VIDYA SHANKARAN MD

Original Issue Date

07/09/2014

Effective Date

05/18/2017

Expiration Date

09/30/2020

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021