SHIVANI UPADHYAY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055349

License Status

CANCELLED

Business

Title

First Name

SHIVANI

Last Name

UPADHYAY

Business Name

SHIVANI UPADHYAY MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/29/2008