AIDA S SHANTI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

First Name

AIDA

Middle

Last Name

SHANTI

Business Name

AIDA S SHANTI

Original Issue Date

11/10/2010

Effective Date

07/18/2011

Expiration Date

07/31/2014

City

LOMBARD

State

Zip

60148

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014