SHILPA P BAHETHI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039998

License Status

EXPIRED

Business

First Name

SHILPA

Middle

Last Name

BAHETHI

Business Name

SHILPA P BAHETHI

Original Issue Date

06/22/1999

Effective Date

06/22/1999

Expiration Date

06/21/2003

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006