SHYAM BHANSALI DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146323

License Status

NOT RENEWED

Business

Title

First Name

SHYAM

Last Name

BHANSALI

Business Name

SHYAM BHANSALI DO

Original Issue Date

05/25/2018

Effective Date

05/25/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60661

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021