RAJESH SHUKLA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040350

License Status

CANCELLED

Business

First Name

RAJESH

Last Name

SHUKLA

Suffix

Business Name

RAJESH SHUKLA MD

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

06/30/2001

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/22/2006