SHASHI DHAR RAJURI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061350

License Status

CANCELLED

Business

Title

First Name

SHASHI

Middle

DHAR

Last Name

RAJURI

Business Name

SHASHI DHAR RAJURI MD

Original Issue Date

06/26/2012

Effective Date

06/26/2012

Expiration Date

06/25/2015

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014