SHASHI B UPADHYA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

CANCELLED

Business

First Name

SHASHI B

Last Name

UPADHYA

Suffix

Business Name

SHASHI B UPADHYA MD

Original Issue Date

01/01/1997

Effective Date

06/24/2008

Expiration Date

07/31/2011

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011