SANDYA SHIVASHANKAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141468

License Status

ACTIVE

Business

Title

First Name

SANDYA

Last Name

SHIVASHANKAR

Business Name

SANDYA SHIVASHANKAR MD

Original Issue Date

08/12/2016

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

IRVING

State

Zip

75062

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/11/2023