SHASHI KIRAN BELLAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102726

License Status

ACTIVE

Business

First Name

SHASHI

Middle

KIRAN

Last Name

BELLAM

Suffix

Business Name

SHASHI KIRAN BELLAM MD

Original Issue Date

06/19/2000

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

04/09/2023