SHANU KONDAMURI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095832

License Status

NOT RENEWED

Business

First Name

SHANU

Last Name

KONDAMURI

Suffix

Business Name

SHANU KONDAMURI MD

Original Issue Date

06/30/1997

Effective Date

09/18/2020

Expiration Date

07/31/2023

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

11/30/2023