SHREYASI H DALAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

SHREYASI H

Last Name

DALAL

Suffix

Business Name

SHREYASI H DALAL MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2008

City

DOLTON

State

Zip

60419

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008