SHIVANI SHANKAR SHINDE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055146

License Status

CANCELLED

Business

Title

First Name

SHIVANI

Middle

SHANKAR

Last Name

SHINDE

Business Name

SHIVANI SHANKAR SHINDE MD

Original Issue Date

06/16/2008

Effective Date

06/16/2008

Expiration Date

06/15/2011

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/13/2008