License holder summary

MONIPPALLIL, SHANTHA K M, MD is a Medical - Physician licensed to practice in Georgia. The address on file for MONIPPALLIL, SHANTHA K M, MD is 2300 N COMMONWEALTH APT 5-B, CHICAGO 60614. This doctor license is not current. The license was granted 08/16/1978 and expired on 12/31/1900.

Georgia

Composite Medical Board

MONIPPALLIL, SHANTHA K M, MD
Medical - Physician
License number
019852
Date granted
08/16/1978
Date expires
12/31/1900
Class
Medical - Physician
Status
Lapsed
Address
2300 N COMMONWEALTH APT 5-B
georgiadoctors.net
ID 38066390
LAST UPDATED 2024-04-26 09:19:05 UTC

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