SHASHI PUTTASWAMY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130088

License Status

NOT RENEWED

Business

Title

First Name

SHASHI

Last Name

PUTTASWAMY

Business Name

SHASHI PUTTASWAMY MD

Original Issue Date

04/16/2012

Effective Date

07/02/2014

Expiration Date

07/31/2017

City

MUNCIE

State

Zip

47304

County

INDIANA

Ever Disciplined

LastModifiedDate

11/01/2017