SHIVANI M BHATIA - Medical Doctor License in Illinois | # 125041764

SHIVANI M BHATIA

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041764

License Status

EXPIRED

Business

N

First Name

SHIVANI

Middle

M

Last Name

BHATIA

Business Name

SHIVANI M BHATIA

Original Issue Date

07/01/2000

Effective Date

07/01/2000

Expiration Date

06/30/2003

State

IL

Specialty/Qualifier

Anesthesiology

Ever Disciplined

N

LastModifiedDate

09/22/2006