SHILPA MOHANLAL SUTARIA 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

SHILPA

Middle

MOHANLAL

Last Name

SUTARIA

Suffix

Business Name

SHILPA MOHANLAL SUTARIA MD

Original Issue Date

08/03/2007

Effective Date

08/12/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011