License holder summary

Balasubrah Manyan Shantha is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Balasubrah Manyan Shantha is 17819 Merridy St 116, Northridge, CA 91325. This doctor license is not current. The license was granted 05/11/1985 and expired on 12/31/1987.

Department of Safety and Professional Services

Board of Medical Practice

Balasubrah Manyan Shantha
Medical - Physician And Surgeon
License number
29182
Date granted
05/11/1985
Date expires
12/31/1987
Class
Medical - Physician And Surgeon
Status
Canceled
Address
17819 Merridy St 116, Northridge, CA 91325
doctorsminnesota.org
ID 22302610
LAST UPDATED 2024-04-07 20:37:14 UTC

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