SHALU P GUGNANI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

Title

First Name

SHALU

Middle

Last Name

GUGNANI

Business Name

SHALU P GUGNANI MD

Original Issue Date

03/22/2022

Effective Date

03/22/2022

Expiration Date

07/31/2023

City

DES PLAINES

State

Zip

60016

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023