SHAMOLI KHANDERIA DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044767

License Status

EXPIRED

Business

First Name

SHAMOLI

Last Name

KHANDERIA

Suffix

Business Name

SHAMOLI KHANDERIA DO

Original Issue Date

06/20/2002

Effective Date

06/20/2002

Expiration Date

06/19/2005

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006