SHASHI MITTAL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030863

License Status

EXPIRED

Business

First Name

SHASHI

Last Name

MITTAL

Suffix

Business Name

SHASHI MITTAL MD

Original Issue Date

04/25/1994

Effective Date

04/25/1994

Expiration Date

04/24/1997

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006