SHEIL SHUKLA DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073974

License Status

CANCELLED

Business

Title

First Name

SHEIL

Last Name

SHUKLA

Business Name

SHEIL SHUKLA DO

Original Issue Date

06/25/2019

Effective Date

06/25/2019

Expiration Date

06/24/2022

City

GLENVIEW

State

Zip

60026

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/14/2019