BALU B SHETTY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

First Name

BALU B

Last Name

SHETTY

Suffix

Business Name

BALU B SHETTY MD

Original Issue Date

05/21/1985

Effective Date

05/21/1985

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006