SWAPNA SHASTRI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058973

License Status

EXPIRED

Business

Title

First Name

SWAPNA

Last Name

SHASTRI

Business Name

SWAPNA SHASTRI MD

Original Issue Date

08/30/2013

Effective Date

08/30/2013

Expiration Date

09/29/2013

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

11/27/2013