ASHUTOSH HARISH SHELAT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066552

License Status

EXPIRED

Business

Title

First Name

ASHUTOSH

Middle

HARISH

Last Name

SHELAT

Business Name

ASHUTOSH HARISH SHELAT MD

Original Issue Date

06/22/2015

Effective Date

06/22/2015

Expiration Date

06/21/2016

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

08/16/2016