SHIVANI SHANKAR SHINDE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127433

License Status

NOT RENEWED

Business

Title

First Name

SHIVANI

Middle

SHANKAR

Last Name

SHINDE

Business Name

SHIVANI SHANKAR SHINDE MD

Original Issue Date

03/30/2011

Effective Date

07/05/2011

Expiration Date

07/31/2014

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/17/2014