SHRI G SHAILAM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051532

License Status

INACTIVE

Business

First Name

SHRI G

Last Name

SHAILAM

Suffix

Business Name

SHRI G SHAILAM MD

Original Issue Date

08/15/1975

Effective Date

08/15/1975

Expiration Date

07/31/1987

City

HAGAMAN

State

Zip

12086

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006

Case Number

2007007919

Action

Reprimand

Discipline Start Date

06/09/2008

Discipline Reason

Disciplined in the state of New York.