RAKESH M SHISHODIA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

First Name

RAKESH M

Last Name

SHISHODIA

Business Name

RAKESH M SHISHODIA

Original Issue Date

02/03/1997

Effective Date

02/03/1997

Expiration Date

07/31/1999

City

SHELBYVILLE

State

Zip

62565

County

SHELBY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006