ASHOK VASANT SHIVDE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058182

License Status

NOT RENEWED

Business

First Name

ASHOK VASANT

Last Name

SHIVDE

Suffix

Business Name

ASHOK VASANT SHIVDE MD

Original Issue Date

11/20/1978

Effective Date

04/23/2014

Expiration Date

07/31/2017

City

WOOD DALE

State

Zip

60191

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/01/2017