KEERTI KANTILAL BHANUSHALI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133650

License Status

NOT RENEWED

Business

Title

First Name

KEERTI

Middle

KANTILAL

Last Name

BHANUSHALI

Business Name

KEERTI KANTILAL BHANUSHALI MD

Original Issue Date

07/30/2013

Effective Date

07/30/2013

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014