ARCHANA SHUKLA DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067742

License Status

CANCELLED

Business

Title

First Name

ARCHANA

Last Name

SHUKLA

Business Name

ARCHANA SHUKLA DO

Original Issue Date

06/25/2015

Effective Date

06/25/2015

Expiration Date

06/24/2018

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

08/29/2016