MONA M SHROFF MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029723

License Status

EXPIRED

Business

First Name

MONA

Middle

Last Name

SHROFF

Suffix

Business Name

MONA M SHROFF MD

Original Issue Date

05/18/1993

Effective Date

05/18/1993

Expiration Date

06/30/1998

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006