SHASHIDHAR DIVAKARUNI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077409

License Status

NOT RENEWED

Business

First Name

SHASHIDHAR

Last Name

DIVAKARUNI

Suffix

Business Name

SHASHIDHAR DIVAKARUNI MD

Original Issue Date

07/20/1988

Effective Date

07/20/1988

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006