KEITH B SHANKAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036167388

License Status

ACTIVE

Business

Title

First Name

KEITH

Middle

Last Name

SHANKAR

Business Name

KEITH B SHANKAR MD

Original Issue Date

10/13/2023

Effective Date

10/13/2023

Expiration Date

07/31/2026

City

WOODBRIDGE

State

Zip

L4L7P

Ever Disciplined

LastModifiedDate

09/18/2023