PRANAVKUMAR P SHROFF Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055839

License Status

CANCELLED

Business

First Name

PRANAVKUMAR

Middle

Last Name

SHROFF

Business Name

PRANAVKUMAR P SHROFF

Original Issue Date

06/22/2009

Effective Date

06/22/2009

Expiration Date

06/21/2012

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/05/2009