SHIRISH D DEVASTHALI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017223

License Status

EXPIRED

Business

First Name

SHIRISH D

Last Name

DEVASTHALI

Suffix

Business Name

SHIRISH D DEVASTHALI MD

Original Issue Date

06/22/1984

Effective Date

06/22/1984

Expiration Date

07/01/1986

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006