SHAILESH CHANDRAMOHAN GARG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149096

License Status

NOT RENEWED

Business

Title

First Name

SHAILESH

Middle

CHANDRAMOHAN

Last Name

GARG

Business Name

SHAILESH CHANDRAMOHAN GARG MD

Original Issue Date

04/19/2019

Effective Date

04/19/2019

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/14/2021