SHANTA NATH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056680

License Status

INACTIVE

Business

First Name

SHANTA

Last Name

NATH

Suffix

Business Name

SHANTA NATH MD

Original Issue Date

04/17/1978

Effective Date

05/12/2014

Expiration Date

07/31/2017

City

DARIEN

State

Zip

60561

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/11/2017