SHAILESH BARAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

NOT RENEWED

Business

First Name

SHAILESH

Last Name

BARAL

Suffix

Business Name

SHAILESH BARAL MD

Original Issue Date

03/30/2011

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62702

County

JACKSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021