MALAN TARA SHIRALKAR Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065868

License Status

EXPIRED

Business

First Name

MALAN

Middle

TARA

Last Name

SHIRALKAR

Business Name

MALAN TARA SHIRALKAR

Original Issue Date

06/24/2014

Effective Date

06/24/2014

Expiration Date

06/23/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/19/2017