SANJAI KUMAR SHUKLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

Title

First Name

SANJAI

Middle

KUMAR

Last Name

SHUKLA

Business Name

SANJAI KUMAR SHUKLA MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014