JENNIFER LEE SHASTRY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152257

License Status

ACTIVE

Business

Title

First Name

JENNIFER

Middle

LEE

Last Name

SHASTRY

Business Name

JENNIFER LEE SHASTRY MD

Original Issue Date

03/19/2020

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60602

County

COOK

Ever Disciplined

LastModifiedDate

07/06/2023