SHIVAM PRAKASH KALAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036164010

License Status

ACTIVE

Business

Title

First Name

SHIVAM

Middle

PRAKASH

Last Name

KALAN

Business Name

SHIVAM PRAKASH KALAN MD

Original Issue Date

03/17/2023

Effective Date

06/20/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

06/20/2023