RAJENDRA SHRIVASTAV MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049103

License Status

ACTIVE

Business

First Name

RAJENDRA

Last Name

SHRIVASTAV

Suffix

Business Name

RAJENDRA SHRIVASTAV MD

Original Issue Date

03/26/1974

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

PONTIAC

State

Zip

61764

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

07/28/2023