SUJATA MADHUKAR SHANBHAG MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110870

License Status

INACTIVE

Business

First Name

SUJATA

Middle

MADHUKAR

Last Name

SHANBHAG

Suffix

Business Name

SUJATA MADHUKAR SHANBHAG MD

Original Issue Date

02/26/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

BETHESDA

State

Zip

20892

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

04/17/2008