SHYAMALA JAGTAP Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036087500

License Status

NOT RENEWED

Business

First Name

SHYAMALA

Last Name

JAGTAP

Business Name

SHYAMALA JAGTAP

Original Issue Date

09/29/1993

Effective Date

09/29/1993

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006