SHYAM K BHAT MD - Medical Doctor License in Illinois | # 125039530

SHYAM K BHAT MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039530

License Status

EXPIRED

Business

N

Title

MD

First Name

SHYAM

Middle

K

Last Name

BHAT

Business Name

SHYAM K BHAT MD

Original Issue Date

06/26/1999

Effective Date

06/26/1999

Expiration Date

08/31/2004

State

IL

Ever Disciplined

N

LastModifiedDate

09/22/2006