DRASHTI N ANTALA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077069

License Status

EXPIRED

Business

Title

First Name

DRASHTI

Middle

Last Name

ANTALA

Business Name

DRASHTI N ANTALA MD

Original Issue Date

06/24/2020

Effective Date

06/24/2020

Expiration Date

06/23/2023

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/06/2024