SHIV BIR BHANU MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070829

License Status

EXPIRED

Business

Title

First Name

SHIV

Middle

BIR

Last Name

BHANU

Business Name

SHIV BIR BHANU MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2018

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

10/25/2018