SANJAI KUMAR SHUKLA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052313

License Status

CANCELLED

Business

Title

First Name

SANJAI

Middle

KUMAR

Last Name

SHUKLA

Business Name

SANJAI KUMAR SHUKLA MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2011

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

04/15/2010