PRIYA SHIRISH BHAKTA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070227

License Status

CANCELLED

Business

Title

First Name

PRIYA

Middle

SHIRISH

Last Name

BHAKTA

Business Name

PRIYA SHIRISH BHAKTA MD

Original Issue Date

06/25/2017

Effective Date

06/25/2017

Expiration Date

06/24/2020

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

05/09/2017