SHEPHALI HIMANSHU WULFF DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051545

License Status

CANCELLED

Business

First Name

SHEPHALI

Middle

HIMANSHU

Last Name

WULFF

Suffix

Business Name

SHEPHALI HIMANSHU WULFF DO

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006