SATISH K SHRIVASTAVA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013196

License Status

EXPIRED

Business

First Name

SATISH K

Last Name

SHRIVASTAVA

Suffix

Business Name

SATISH K SHRIVASTAVA MD

Original Issue Date

06/30/1981

Effective Date

06/30/1981

Expiration Date

07/01/1983

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006