PRITIKA SHRIVASTAVA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048724

License Status

EXPIRED

Business

First Name

PRITIKA

Last Name

SHRIVASTAVA

Suffix

Business Name

PRITIKA SHRIVASTAVA MD

Original Issue Date

07/13/2004

Effective Date

07/13/2004

Expiration Date

07/12/2007

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/25/2007