Shivakanth Burugu
Medical Board - 57.Md Training Certificate
Ohio 57.017497 Failed to Renew
This Ohio license was held by Shivakanth Burugu. The license is no longer active. It was granted on 04/16/2010 and expired on 06/30/2013
LICENSE DETAILS
- License Number: 57.017497
- Category: 57.MD Training Certificate
- Status: Failed to Renew
- Date Granted: 04/16/2010 (about 15 years ago)
- Expiry Date: 06/30/2013 (almost 12 years ago)
LOCATIONS
A Practice Address
Aultman Hospital, c/o Medical Education Dept, 2600 Sixth Street SW, Canton, OH 44710