SHILPA SHAUNAK DAVE DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034496

License Status

EXPIRED

Business

First Name

SHILPA

Middle

SHAUNAK

Last Name

DAVE

Suffix

Business Name

SHILPA SHAUNAK DAVE DO

Original Issue Date

05/20/1996

Effective Date

05/20/1996

Expiration Date

06/30/1999

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006