SHANKAR SUNDARAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155108

License Status

NOT RENEWED

Business

Title

First Name

SHANKAR

Last Name

SUNDARAM

Business Name

SHANKAR SUNDARAM MD

Original Issue Date

12/23/2020

Effective Date

12/23/2020

Expiration Date

07/31/2023

City

OAKWOOD

State

Zip

45419

Ever Disciplined

LastModifiedDate

01/14/2025

Case Number

2024005069

Action

Permanent Inactive

Discipline Start Date

12/23/2024