NIKITA SHROFF RALPH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163855

License Status

ACTIVE

Business

Title

First Name

NIKITA

Last Name

SHROFF RALPH

Business Name

NIKITA SHROFF RALPH MD

Original Issue Date

03/03/2023

Effective Date

08/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

08/13/2023