NEIL KANTA SHETTY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

ACTIVE

Business

Title

First Name

NEIL

Middle

KANTA

Last Name

SHETTY

Business Name

NEIL KANTA SHETTY MD

Original Issue Date

03/02/2021

Effective Date

06/04/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60661

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/04/2023