SHASHI P RASTOGI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

First Name

SHASHI P

Last Name

RASTOGI

Suffix

Business Name

SHASHI P RASTOGI MD

Original Issue Date

07/07/1989

Effective Date

07/07/1989

Expiration Date

07/31/1990

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006