KARAN PRABODH SHUKLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

Title

First Name

KARAN

Middle

PRABODH

Last Name

SHUKLA

Business Name

KARAN PRABODH SHUKLA MD

Original Issue Date

12/11/2013

Effective Date

07/30/2014

Expiration Date

07/31/2017

City

PERU

State

Zip

61354

County

LA SALLE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020