SHUKTI GHULYANI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052201

License Status

CANCELLED

Business

Title

First Name

SHUKTI

Last Name

GHULYANI

Business Name

SHUKTI GHULYANI MD

Original Issue Date

02/01/2010

Effective Date

02/01/2010

Expiration Date

01/31/2011

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Geriatric Medicine

Ever Disciplined

LastModifiedDate

01/15/2010