SHASHI MITTAL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092316

License Status

INACTIVE

Business

First Name

SHASHI

Last Name

MITTAL

Suffix

Business Name

SHASHI MITTAL MD

Original Issue Date

01/11/1996

Effective Date

01/11/1996

Expiration Date

07/31/1999

City

WILLOW SPRINGS

State

Zip

60480

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006