PANCHANAN SHUKLA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064202

License Status

EXPIRED

Business

Title

First Name

PANCHANAN

Last Name

SHUKLA

Business Name

PANCHANAN SHUKLA MD

Original Issue Date

07/02/2013

Effective Date

07/02/2013

Expiration Date

07/01/2016

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

08/16/2016