SHOBHA SHAHANI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061911

License Status

NOT RENEWED

Business

First Name

SHOBHA

Last Name

SHAHANI

Business Name

SHOBHA SHAHANI

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

08/31/2015

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

01/07/2016