SHAAISTA BAHADURALI BUDHANI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060236

License Status

CANCELLED

Business

Title

First Name

SHAAISTA

Middle

BAHADURALI

Last Name

BUDHANI

Business Name

SHAAISTA BAHADURALI BUDHANI MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

06/15/2011