MAYURI P SHENDE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077275

License Status

EXPIRED

Business

Title

First Name

MAYURI

Middle

Last Name

SHENDE

Business Name

MAYURI P SHENDE MD

Original Issue Date

02/15/2021

Effective Date

02/15/2021

Expiration Date

02/14/2022

City

MAYWOOD

State

Zip

60153

Specialty/Qualifier

Hematopathology

Ever Disciplined

LastModifiedDate

10/11/2022