SHRUTI MITTAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137690

License Status

NOT RENEWED

Business

Title

First Name

SHRUTI

Last Name

MITTAL

Business Name

SHRUTI MITTAL MD

Original Issue Date

03/30/2015

Effective Date

03/30/2015

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017