PRIYANKA SURESH SHASTRI DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154006

License Status

ACTIVE

Business

Title

First Name

PRIYANKA

Middle

SURESH

Last Name

SHASTRI

Business Name

PRIYANKA SURESH SHASTRI DO

Original Issue Date

08/13/2020

Effective Date

07/25/2024

Expiration Date

07/31/2026

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Ever Disciplined

LastModifiedDate

07/25/2024