FNU SHAKUNTULLA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068650

License Status

CANCELLED

Business

Title

First Name

FNU

Last Name

SHAKUNTULLA

Business Name

FNU SHAKUNTULLA MD

Original Issue Date

06/20/2016

Effective Date

06/20/2016

Expiration Date

06/19/2019

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

08/27/2018