SHASHWAT MISHRA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062477

License Status

CANCELLED

Business

Title

First Name

SHASHWAT

Last Name

MISHRA

Business Name

SHASHWAT MISHRA MD

Original Issue Date

08/09/2012

Effective Date

08/09/2012

Expiration Date

08/08/2014

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatric Neurosurgery

Ever Disciplined

LastModifiedDate

08/09/2012