MAULIK BALMUKUND SHETH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144213

License Status

NOT RENEWED

Business

Title

First Name

MAULIK

Middle

BALMUKUND

Last Name

SHETH

Business Name

MAULIK BALMUKUND SHETH MD

Original Issue Date

08/28/2017

Effective Date

07/29/2020

Expiration Date

07/31/2023

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/30/2023