BALAKRISHNA SHIVASHANKER BANGALORE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115168

License Status

INACTIVE

Business

First Name

BALAKRISHNA

Middle

SHIVASHANKER

Last Name

BANGALORE

Suffix

Business Name

BALAKRISHNA SHIVASHANKER BANGALORE MD

Original Issue Date

01/27/2006

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

RICHMOND

State

Zip

47374

County

INDIANA

Ever Disciplined

LastModifiedDate

12/05/2016