SHYLESH R GANTA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033998

License Status

EXPIRED

Business

First Name

SHYLESH

Middle

Last Name

GANTA

Business Name

SHYLESH R GANTA

Original Issue Date

02/14/1996

Effective Date

02/14/1996

Expiration Date

03/31/1999

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006