SHIVANI AMBARDEKAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086693

License Status

ACTIVE

Business

Title

First Name

SHIVANI

Last Name

AMBARDEKAR

Business Name

SHIVANI AMBARDEKAR MD

Original Issue Date

06/24/2025

Effective Date

06/24/2025

Expiration Date

06/23/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/13/2025