SHRUTI S TRIVEDI Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109894

License Status

ACTIVE

Business

First Name

SHRUTI

Middle

Last Name

TRIVEDI

Business Name

SHRUTI S TRIVEDI

Original Issue Date

08/08/2003

Effective Date

07/03/2023

Expiration Date

07/31/2026

City

GLENCOE

State

Zip

60022

County

COOK

Ever Disciplined

LastModifiedDate

07/03/2023