SANDYA SHIVASHANKAR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064639

License Status

CANCELLED

Business

Title

First Name

SANDYA

Last Name

SHIVASHANKAR

Business Name

SANDYA SHIVASHANKAR MD

Original Issue Date

06/26/2014

Effective Date

06/26/2014

Expiration Date

06/25/2017

City

IRVING

State

Zip

75063

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/20/2014