SHILPA VIJAY DESHMUKH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

SHILPA

Middle

VIJAY

Last Name

DESHMUKH

Suffix

Business Name

SHILPA VIJAY DESHMUKH MD

Original Issue Date

08/11/2004

Effective Date

08/11/2004

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008