AIDA S SHANTI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125640

License Status

NOT RENEWED

Business

First Name

AIDA

Middle

Last Name

SHANTI

Business Name

AIDA S SHANTI

Original Issue Date

04/30/2010

Effective Date

07/18/2011

Expiration Date

07/31/2014

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/17/2014