CHAMUNDAMBIKA SHANMUGAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114856

License Status

NOT RENEWED

Business

First Name

CHAMUNDAMBIKA

Last Name

SHANMUGAM

Suffix

Business Name

CHAMUNDAMBIKA SHANMUGAM MD

Original Issue Date

11/09/2005

Effective Date

09/29/2021

Expiration Date

07/31/2023

City

STOKESDALE

State

Zip

27357

Ever Disciplined

LastModifiedDate

11/30/2023