SHANMUGHAM VADIVELU Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098122

License Status

NOT RENEWED

Business

First Name

SHANMUGHAM

Last Name

VADIVELU

Business Name

SHANMUGHAM VADIVELU

Original Issue Date

06/29/1998

Effective Date

06/29/1998

Expiration Date

07/31/2002

City

RHINELANDER

State

Zip

54501

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006