GURU SHANKAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

First Name

GURU

Last Name

SHANKAR

Suffix

Business Name

GURU SHANKAR MD

Original Issue Date

03/13/2007

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

SOUTH BARRINGTON

State

Zip

60010

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021