SHALU P GUGNANI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

Title

First Name

SHALU

Middle

Last Name

GUGNANI

Business Name

SHALU P GUGNANI MD

Original Issue Date

03/22/2022

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

VERNON HILLS

State

Zip

60061

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/13/2023