SHEILA S R MOTHKUR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060552

License Status

NOT RENEWED

Business

First Name

SHEILA S R

Last Name

MOTHKUR

Suffix

Business Name

SHEILA S R MOTHKUR MD

Original Issue Date

07/10/1980

Effective Date

07/23/2014

Expiration Date

07/31/2017

City

CHESTERTON

State

Zip

46304

County

INDIANA

Ever Disciplined

LastModifiedDate

11/01/2017