SHANKHO SHUVRO GANGULI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062009

License Status

EXPIRED

Business

Title

First Name

SHANKHO

Middle

SHUVRO

Last Name

GANGULI

Business Name

SHANKHO SHUVRO GANGULI MD

Original Issue Date

06/22/2012

Effective Date

06/22/2012

Expiration Date

06/21/2015

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/04/2015