SHAILESH U PITALE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095876

License Status

NOT RENEWED

Business

First Name

SHAILESH U

Last Name

PITALE

Business Name

SHAILESH U PITALE

Original Issue Date

06/30/1997

Effective Date

06/30/1997

Expiration Date

07/31/2002

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006