R SHRIVASTAV MD SC - Medical Corporation License in Illinois | # 042003117

R SHRIVASTAV MD SC

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042003117

License Status

NOT RENEWED

Business

Y

Business Name

R SHRIVASTAV MD SC

Original Issue Date

10/17/1977

Effective Date

10/14/2009

Expiration Date

01/01/2011

State

IL

Ever Disciplined

N

LastModifiedDate

02/08/2011