MANISH PRASAD SHRESTHA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

Title

First Name

MANISH

Middle

PRASAD

Last Name

SHRESTHA

Business Name

MANISH PRASAD SHRESTHA MD

Original Issue Date

07/14/2011

Effective Date

07/14/2011

Expiration Date

07/31/2014

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014