SHANMUGAM LAKSHMANAN Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051027

License Status

INACTIVE

Business

First Name

SHANMUGAM

Last Name

LAKSHMANAN

Business Name

SHANMUGAM LAKSHMANAN

Original Issue Date

05/22/1975

Effective Date

06/14/2017

Expiration Date

09/30/2020

City

BALLWIN

State

Zip

63011

County

MARION

Ever Disciplined

LastModifiedDate

04/05/2020