SHANKER RAO POLSANI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055683

License Status

EXPIRED

Business

First Name

SHANKER

Middle

RAO

Last Name

POLSANI

Business Name

SHANKER RAO POLSANI

Original Issue Date

06/27/2009

Effective Date

06/27/2009

Expiration Date

06/26/2012

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

08/29/2012