ANJU SHRIVASTAVA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029078

License Status

EXPIRED

Business

First Name

ANJU

Last Name

SHRIVASTAVA

Business Name

ANJU SHRIVASTAVA

Original Issue Date

07/29/1992

Effective Date

07/29/1992

Expiration Date

07/28/1993

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006