ASHOK VASANT SHIVDE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

ASHOK VASANT

Last Name

SHIVDE

Suffix

Business Name

ASHOK VASANT SHIVDE MD

Original Issue Date

07/07/1981

Effective Date

04/23/2014

Expiration Date

07/31/2017

City

WOOD DALE

State

Zip

60191

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017