SHIRMELA BASTO RAMBALLY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036159782

License Status

ACTIVE

Business

Title

First Name

SHIRMELA

Middle

BASTO

Last Name

RAMBALLY

Business Name

SHIRMELA BASTO RAMBALLY MD

Original Issue Date

03/15/2022

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2024