SHYAM AMBRISH DESAI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075998

License Status

EXPIRED

Business

First Name

SHYAM

Middle

AMBRISH

Last Name

DESAI

Business Name

SHYAM AMBRISH DESAI

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

10/30/2024