SHYAM K BHAT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039530

License Status

EXPIRED

Business

Title

First Name

SHYAM

Middle

Last Name

BHAT

Business Name

SHYAM K BHAT MD

Original Issue Date

06/26/1999

Effective Date

06/26/1999

Expiration Date

08/31/2004

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/22/2006