AMAR SHAKTI BHARDWAJ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060394

License Status

CANCELLED

Business

Title

First Name

AMAR

Middle

SHAKTI

Last Name

BHARDWAJ

Business Name

AMAR SHAKTI BHARDWAJ MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

CHICAGO

State

Zip

60610

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

03/24/2014