MUTHIA SHANMUGHAM Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053860

License Status

INACTIVE

Business

First Name

MUTHIA

Last Name

SHANMUGHAM

Business Name

MUTHIA SHANMUGHAM

Original Issue Date

11/19/1976

Effective Date

04/20/2011

Expiration Date

07/31/2014

City

ATHENS

State

Zip

45701

County

OHIO

Ever Disciplined

LastModifiedDate

04/08/2014